Individual
DR. CHARLES BENJAMIN EVANS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13840 N NORTHSIGHT BLVD STE 121, SCOTTSDALE, AZ 85260-3665
(480) 588-6924
Mailing address
8776 E SHEA BLVD, STE B3A-129, SCOTTSDALE, AZ 85260-6629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37616
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275754517
BCBS AZ
AZ
05
—
260903
—
AZ
Enumeration date
05/02/2007
Last updated
04/11/2019
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