NPI 1760603138

Ear, Nose & Throat Center of Wyoming, LLC

Organisation Otolaryngology Physician Evanston, WY

Practice location

Address: 196 Arrowhead Dr STE 5, Evanston, WY 82930-8752
Phone: (801) 328-2522
Mailing address: 22 S 900 E, Slc, UT 84102-1307

Authorised official

Name: Evon Pefaur
Title: Billing
Phone: (801) 328-2522

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 2005000496155 (WY)

Other Otolaryngology providers in Wyoming →

Registry record

NPI: 1760603138
Entity type: Organization
NPI issued: 1 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.