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Organization

SOUTHWEST WYOMING ENT INC

Active
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Organization

SOUTHWEST WYOMING ENT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON P HAACK MD (OWNER)
(307) 789-8721
Entity
Organization

Contact information

Practice address
191 OVERTHRUST RD, EVANSTON, WY 82930-9261
(307) 789-8721
(307) 789-8664
Mailing address
191 OVERTHRUST RD, EVANSTON, WY 82930-9261
(307) 789-8721
(307) 789-8664

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—

Other

Enumeration date
08/13/2008
Last updated
10/24/2013
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