Individual
DR. EVAN MATTHEW TAVAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 S MARKET ST STE 2, CORTEZ, CO 81321-3502
(970) 565-2600
(970) 564-0392
Mailing address
1311 N MILDRED ROAD, CORTEZ, CO 81321-2231
(970) 564-2152
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
222577
ND
207X00000X
Orthopaedic Surgery Physician
DR.0058700
CO
207X00000X
Orthopaedic Surgery Physician
Primary
MD225448
OR
Other
Enumeration date
06/04/2012
Last updated
09/24/2025
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