NPI 1801832548

Evanston Hospital Corporation

Organisation Emergency Medicine Physician Evanston, WY

Practice location

Address: 190 Arrowhead Dr, Evanston, WY 82930-9266
Phone: (307) 783-8161
Fax: (307) 783-8237
Mailing address: PO Box 60000 File 0074044, San Francisco, CA 94160-0001

Authorised official

Name: Michael Portacci
Title: President
Phone: (615) 465-7000

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Wyoming →

Registry record

NPI: 1801832548
Entity type: Organization
NPI issued: 21 Jun 2006
Record last updated: 21 Jul 2022

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.