NPI 1700060902 · live from the CMS NPI Registry
Evanston Family Foot Care
Podiatrist, Foot & Ankle Surgery in Evanston, WY. National Provider Identifier 1700060902, active.
NPI record
| NPI | 1700060902 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1565 Highway 150 South, Suite C, Evanston, WY 82930 |
| Practice phone | 307-789-8997 |
| Mailing address | Po Box 238, Evanston, WY 82931 |
| Enumerated | December 24, 2007 |
| Last updated | January 6, 2008 |
| Authorized official | Jason Levitre, Podiatrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 127 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.