# TYLER BLAIR EVANS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912227125
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 262216 | NY | — |
| 207R00000X | Internal Medicine Physician | R72287 | AZ | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | A148240 | CA | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 262216-1 | NY | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | A148240 | CA | Yes |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 03/19/2026