NPI 1710970058

Tadge M Kanjo, MD

Practitioner Surgery Physician Evanston, WY

Practice location

Address: 196 Arrowhead Dr Suite 6, Evanston, WY 82930-8752
Phone: (307) 783-8398
Fax: (307) 783-8399

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence TL1909 (WY)

Other Surgery providers in Wyoming →

Specialist

Other Service Providers Taxonomy 174400000X Licence 41467-020 (WI)

Other Specialist providers in Wyoming →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 41467-020 (WI)

Registry record

NPI: 1710970058
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2005
Record last updated: 12 Sep 2012

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.