Individual
EDWARD EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 N 7TH ST STE 375, PHOENIX, AZ 85006-2707
(602) 307-0070
(602) 307-0080
Mailing address
1331 N 7TH ST STE 375, PHOENIX, AZ 85006-2707
(602) 307-0070
(602) 307-0080
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
16862
MS
207RC0000X
Cardiovascular Disease Physician
33865
TN
207RC0000X
Cardiovascular Disease Physician
E-2914
AR
207RI0011X
Interventional Cardiology Physician
16862
MS
207RI0011X
Interventional Cardiology Physician
33865
TN
207RI0011X
Interventional Cardiology Physician
Primary
54808
AZ
207RI0011X
Interventional Cardiology Physician
MD0000033865
TN
207RI0011X
Interventional Cardiology Physician
MD00033175
WA
207RI0011X
Interventional Cardiology Physician
MTL-2017-085
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06552351
—
MS
01
—
103I060822
MEDICARE PIN
TN
Enumeration date
10/26/2006
Last updated
04/09/2021
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