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Individual
ERIC A EVANS
Active
Individual
ERIC A EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
356126-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002086317
—
NV
01
—
107008375103
IHC
UT
05
—
118901800
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
345738
DESERET MUTUAL
UT
05
—
450601001
—
AZ
01
—
71448
PEHP
UT
05
—
806732000
—
ID
01
—
870545614EEV
EDUCATORS MUTUAL
UT
01
—
99459
HEALTHY U
UT
01
—
PRA02635
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/13/2006
Last updated
01/08/2024
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