Ear, Nose & Throat Center Of Wyoming, Llc

Specialty details in registry · Evanston, WY

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At a glance

196 Arrowhead Dr Ste 5, Evanston, WY 82930-8752

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

196 Arrowhead Dr Ste 5
Evanston, WY 82930-8752
Professional details: NPI, taxonomy & registry record
NPI1760603138
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207Y00000X
Enumeration date
May 1, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207Y00000X · Primary

License reported: 2005000496155 WY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

196 Arrowhead Dr Ste 5
Evanston, WY 82930-8752
Phone
(801) 328-2522
Mailing address
22 S 900 E

SLC, UT 841021307
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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