OrganizationActive
Bear River Urology, LLC
NPI 1063708592 · Urology Physician · Evanston, WY
Provider details
- NPI number
- 1063708592
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Van Bibber, Owner(801) 821-6717
- License
- TL#1572 (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
196 Arrowhead Dr
Suite #4
Evanston, WY 82930-8752
Phone: (307) 789-8721
Approximate (ZIP-level) locationGet directions
Mailing address
196 Arrowhead Dr
Evanston, WY 82930-8752
Registry dates
- Enumerated
- 2011-06-23
- Last updated
- 2011-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.