EVANSTON CLINIC CORP

EVANSTON, WY
NPI1013916519
Entity TypeOrganization
Authorized ContactLAURA J FEY
Director Revenue Cycle
615-221-3641
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies363LF0000X Nurse Practitioner, Family
207R00000X Internal Medicine
207V00000X Obstetrics & Gynecology
208600000X Surgery
208800000X Urology
208D00000X General Practice
363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
Enumeration Date2005-07-18
Last Update Date2019-03-04
Business Address
EVANSTON CLINIC CORP
196 ARROWHEAD DR STE 8
EVANSTON, WY 82930-8752
Phone number: 307-783-8365
Mailing Address
EVANSTON CLINIC CORP
PO BOX 5009
BRENTWOOD, TN 37024-5009
Phone number: 615-221-1400