BEAR RIVER UROLOGY, LLC
Urology in Evanston, WY

License number
Wyoming TL#1572
Category
Radiology
Type
Urology
Owner
Name: MICHAEL E VAN BIBBER MD
Title: OWNER
Phone: (801) 821-6717
Address
Address
196 Arrowhead Dr Suite #4, Evanston, WY 82930
National Provider ID: 1063708592
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BEAR RIVER UROLOGY, LLC at bizstanding.com

Bear River Urology, LLC

191 Overthrust Rd, Evanston, WY 82930

Status:
Inactive
Registration:
Jun 16, 2011
Inactive since:
Aug 9, 2014
State ID:
2011-000603070
Business type:
Limited Liability Company - Domestic
Expiration:
Perpetual

Other Doctors licenses in Wyoming