Organization
UINTA EAR, NOSE & THROAT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J HARBRECHT (PRESIDENT)
(307) 783-8364
Entity
Organization
Contact information
Practice address
196 ARROWHEAD DR, SUITE 5, EVANSTON, WY 82930-8752
(307) 783-8364
Mailing address
196 ARROWHEAD DR, SUITE 5, EVANSTON, WY 82930-8752
(307) 783-8364
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4309A
WY
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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