OrganizationActive
Southwest Wyoming Ent Inc
NPI 1730335423 · Otolaryngology Physician · Evanston, WY
Provider details
- NPI number
- 1730335423
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Haack, Owner(307) 789-8721
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Facial Plastic Surgery Physician207YS0123X
Allopathic & Osteopathic Physicians
Practice location
191 Overthrust Rd
Evanston, WY 82930-9261
Phone: (307) 789-8721
Fax: (307) 789-8664
Approximate (ZIP-level) locationGet directions
Mailing address
191 Overthrust Rd
Evanston, WY 82930-9261
Registry dates
- Enumerated
- 2008-08-13
- Last updated
- 2013-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.