Individual
EVAN R LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
444 W BOURNE CIR STE 200, FARMINGTON, UT 84025-3657
(801) 776-0174
(801) 285-3904
Mailing address
444 W BOURNE CIR STE 200, FARMINGTON, UT 84025-3657
(801) 397-3000
(801) 397-0455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
361472-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477643179
GROUP NPI
UT
Enumeration date
04/13/2007
Last updated
09/12/2019
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