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Individual
SCOTT RANDALL EVANS
Active
Individual
SCOTT RANDALL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6002851-1205
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A100151
CA
Other
Enumeration date
03/28/2007
Last updated
08/24/2010
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