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Individual

BILLY JOE EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7330 N 99TH AVE STE 325, GLENDALE, AZ 85307-3022
(480) 398-7620
(480) 398-7621
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3848
(602) 633-3841

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25779
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
426511
AZ
Enumeration date
07/13/2006
Last updated
08/01/2024
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