Bear River Surgical Clinic Inc in Evanston - Surgery

Bear River Surgical Clinic Inc - NPI 1447217377

Bear River Surgical Clinic Inc is a Surgery in Evanston, . Bear River Surgical Clinic Inc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Bear River Surgical Clinic Inc is 1447217377. The last update date is 2008-04-25.

Bear River Surgical Clinic Inc's current location address is 196 Arrowhead Dr, Evanston, . You can contact this provider via phone number 4356139500 and fax number 4356139414. The mailing address for Bear River Surgical Clinic Inc is 196 Arrowhead Dr, Evanston, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Bear River Surgical Clinic Inc
Address 196 Arrowhead Dr, Evanston,
Phone Number 4356139500
Fax Number 4356139414
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Oconnor J Michael
Credentials MD
Telephone Number 3077981390

NPI Number Detail

NPI Number 1447217377
Provider Enumeration Date 2006-04-26
Last Updated Date 2008-04-25

Provider Mailing Address Detail

Address 196 Arrowhead Dr
City Evanston
State (WY)
Post Code 829308752
Phone Number 4356139500
Fax Number 4356139414

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100588000 WY --

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FAQs about Bear River Surgical Clinic Inc

What is the unique provider identifier assigned to Bear River Surgical Clinic Inc?

The Bear River Surgical Clinic Inc has been issued the NPI (National Provider Identifier) 1447217377 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Bear River Surgical Clinic Inc's facilities are situated?

The facilities of Bear River Surgical Clinic Inc are physically located at the following address: 196 Arrowhead Dr, Evanston, WY, 829308752.

What is the area of specialization for Bear River Surgical Clinic Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bear River Surgical Clinic Inc is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1447217377 to Bear River Surgical Clinic Inc?

The Centers for Medicare & Medicaid Services assigned the 1447217377 to Bear River Surgical Clinic Inc on 2006-04-26.

When was the Bear River Surgical Clinic Inc's information last updated?

The Bear River Surgical Clinic Inc's information was last updated on 2008-04-25.

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