Organization
EVANSTON REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WILEY (CLINIC SUPERVISOR)
(307) 789-3636
Entity
Organization
Contact information
Practice address
531 PARKWAY DRIVE, MOUNTAIN VIEW, WY 82939
(307) 782-7560
Mailing address
531 PARKWAY DRIVE, MOUNTAIN VIEW, WY 82939
(307) 782-7560
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
33582.1375
WY
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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