Organization · Type 2 NPI

Evanston Clinic Corp

Family Medicine Physician · Lyman, WY

NPI number 1801084926 Active

Practice location

107 N Main St
Lyman, WY 82937

Call (307) 787-3313 Map

Mailing address

7100 Commerce Way, Suite 180
Brentwood, TN 37027-2829

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other family medicine physician providers in Lyman

Evanston Hospital CorporationFamily Medicine Physician Lyman, WY NPI 1366989014

See all in Lyman →

NPI record

NPI: 1801084926
Entity type: Organization (Type 2)
Issued: Oct 15, 2007
Last updated: Oct 15, 2007
Status: Active
Subpart: Yes of Evanston Clinic Corp

Other names

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Bridger Valley Family Practice · doing business as

Authorized official

Debbie T Brewer, MBA
Director of Provider Enrollment
(615) 465-7626

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801084926

Evanston Clinic Corp's National Provider Identifier is 1801084926, issued on Oct 15, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lyman, WY. The record was last updated on Oct 15, 2007.