Organization · Type 2 NPI
Evanston Family Foot Care
Foot & Ankle Surgery Podiatrist · Evanston, WY
NPI number
1700060902
Active
Practice location
1565 Highway 150 South, Suite C
Evanston, WY 82930-5348
Fax (307) 789-2624
Mailing address
PO Box 238
Evanston, WY 82931-0238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 127 (WY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1700060902
Evanston Family Foot Care's National Provider Identifier is 1700060902, issued on Dec 24, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Evanston, WY. The record was last updated on Jan 6, 2008.