BEAR RIVER UROLOGY, LLC

EVANSTON, WY
NPI1063708592
Entity TypeOrganization
Authorized ContactMICHAEL E VAN BIBBER
Owner
801-821-6717
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: WY  TL#1572)
Enumeration Date2011-06-23
Last Update Date2011-06-23
Business Address
BEAR RIVER UROLOGY, LLC
196 ARROWHEAD DR SUITE #4
EVANSTON, WY 82930-8752
Phone number: 307-789-8721
Mailing Address
BEAR RIVER UROLOGY, LLC
196 ARROWHEAD DR SUITE #4
EVANSTON, WY 82930-8752
Phone number: 307-789-8721