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Individual
DANIEL A EVANS
Active
Individual
DANIEL 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
4939488-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060758
—
MT
01
—
1021320001
CIGNA
UT
01
—
107012191101
IHC
UT
01
—
28040
HEALTHY U
UT
01
—
49394881200001
BCBS
UT
01
—
656108
DESERET MUTUAL
UT
01
—
68248
PEHP
UT
01
—
870280408EV1
EDUCATORS MUTUAL
UT
01
—
PRA07384
MOLINA
UT
01
—
QM0000057307
ALTIUS
UT
Enumeration date
08/23/2006
Last updated
07/08/2007
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