Individual
DR. DANIEL NILE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2120 THAIN GRADE, LEWISTON, ID 83501-4105
(208) 746-1050
Mailing address
2823 N WHITWORTH RD, INKOM, ID 83245-1741
(208) 775-4439
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100110
ID
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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