Keith H Evans MD

NPI 1033179049 - General Practice - 208D00000X

NPI Details
NPI 1033179049
Gender Male
Enumeration Date 03/24/2006
Last Updated 08/17/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1140 W 500 S
VERNAL UT, 84078-2914, US
Phone (435) 789-6300
Fax (435) 789-6325
Business Location
1140 W 500 S STE 9
VERNAL UT, 84078-2912, US
Phone (435) 789-6300
Fax (435) 789-6325
Toxanomy
Taxonomy Code 208D00000X
License State Utah
License Number 1612791205
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According to our database, Dr. Keith H Evans MD NPI is 1033179049, taxonomy code is 208D00000X and license number is 1612791205, license state is located at Utah. Keith H Evans MD physically located at 1140 W 500 S, Vernal UT, 84078-2914. NPI Number Keith H Evans MD has the Individual type.

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1033179049 NPI number is provided on an as is basis without warranty of any kind. 1033179049 is maintained by the National Plan & Provider Enumeration System. The contents of Keith H Evans MD are for informational purposes only.