# EVANSTON EMERGENCY PHYSICIANS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184706640
- **Authorized official:** DR. KEVIN F. OMEARA MD (PRESIDENT CEO)
- **Authorized official phone:** (307) 789-3636

## Contact information

- **Practice address:** 190 ARROWHEAD DR, EVANSTON, WY 82930-9266
- **Practice address phone:** (307) 789-3636
- **Mailing address:** 123 FOX POINT LOOP RD, EVANSTON, WY 82930-4779
- **Mailing address phone:** (307) 679-8391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/22/2020
