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Individual

DR. WILLIAM S EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
424 YELLOWSTONE AVE, STE 2D, CODY, WY 82414
(307) 578-2947
(307) 578-2492
Mailing address
707 SHERIDAN AVE, CODY, WY 82414
(307) 578-2480
(307) 578-2492

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
27613020
WI
2086S0129X
Vascular Surgery Physician
Primary
TL#1137
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31513900
WI
Enumeration date
02/13/2006
Last updated
06/16/2009
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