EVANSTON CLINIC CORP

LYMAN, WY
NPI1801084926
Entity TypeOrganization
Authorized ContactDEBBIE T BREWER
Director Of Provider Enrollment
615-465-7626
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-10-15
Last Update Date2007-10-15
Business Address
EVANSTON CLINIC CORP
107 N MAIN ST
LYMAN, WY 82937
Phone number: 307-787-3313
Mailing Address
EVANSTON CLINIC CORP
7100 COMMERCE WAY SUITE 180
BRENTWOOD, TN 37027-2829
Phone number: 615-465-7626
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