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Individual
DR. SHANNON D EVANS
Active
Individual
DR. SHANNON D EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8365A
WY
207Q00000X
Family Medicine Physician
DOS-1720
HI
207Q00000X
Family Medicine Physician
Primary
DR.0060131
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
07/22/2008
Last updated
08/22/2018
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