Organization
ROBERT T EVANS D P M PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT T EVANS DPM (PROVIDER)
(928) 474-9242
Entity
Organization
Contact information
Practice address
200 E LONE PINE DR, PAYSON, AZ 85541-5519
(928) 474-9242
(928) 474-9241
Mailing address
200 E LONE PINE DR, PAYSON, AZ 85541-5519
(928) 474-9242
(928) 474-9241
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z108578
MEDICARE GROUP PIN
AZ
Enumeration date
11/08/2007
Last updated
12/16/2025
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