OrganizationActive
Ear, Nose & Throat Center of Wyoming, LLC
NPI 1760603138 · Otolaryngology Physician · Evanston, WY
Provider details
- NPI number
- 1760603138
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Evon Pefaur, Billing(801) 328-2522
- License
- 2005000496155 (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
196 Arrowhead Dr Ste 5
Evanston, WY 82930-8752
Phone: (801) 328-2522
Street-level locationGet directions
Mailing address
22 S 900 E
Slc, UT 84102-1307
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.