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BEAR RIVER UROLOGY LLC NPI 1063708592


NPI Information

NPI: 1063708592
Provider Name: BEAR RIVER UROLOGY, LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
196 ARROWHEAD DR
SUITE #4
EVANSTON, WY
ZIP 82930
Phone: (307) 789-8721
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BEAR RIVER UROLOGY, LLC is an urology in Evanston, WY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BEAR RIVER UROLOGY, LLC NPI is 1063708592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

196 ARROWHEAD DR
SUITE #4
EVANSTON, WY
ZIP 82930-752
Phone: (307) 789-8721

The provider's authorized official is Michael E Van Bibber .
The authorized official title is Owner and has the following contact phone number (801) 821-6717.

The enumeration date for this NPI number is 6/23/2011 and was last updated on 6/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyTL#1572WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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