Individual
STEPHEN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1287 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8120
(406) 752-8896
Mailing address
1287 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8120
(406) 752-8896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9516
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000025925
—
MT
Enumeration date
06/13/2006
Last updated
07/27/2010
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