Individual
DR. JUSTIN P EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4404
Mailing address
3300 PROVIDENCE DR, SUITE 207, ANCHORAGE, AK 99508-4671
(907) 561-0005
(907) 563-9140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46976
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872956500
—
MN
Enumeration date
01/12/2006
Last updated
07/20/2020
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