Individual
DAVID L EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5999
(907) 458-5660
Mailing address
PO BOX 73370, FAIRBANKS, AK 99707-3370
(907) 452-6464
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6916
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1539
—
AK
Enumeration date
04/15/2008
Last updated
02/13/2013
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