Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evanston Surgical Center LLC

Organization Surgery Physician · NPI 1003081522

Evanston Surgical Center LLC is a Surgery Physician in Evanston, Wyoming. Licensed in Wyoming. Registered with an NPI since 2008.

Licensed in
WY
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

196 Arrowhead Dr Ste 8
Evanston, WY 82930-8752
Phone: (307) 789-1390
Fax: (307) 789-1391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5079A (WY)

Record details

NPI number1003081522
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael O'Connor — Owner/Md · (307) 789-1390
NPI enumeratedApril 25, 2008
Last updated in NPPESOctober 20, 2008
Mailing address196 Arrowhead Dr, Suite 8, Evanston, WY 82930-8752

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