Individual
EVAN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
34515 9TH AVE S, FEDERAL WAY, WA 98003-6761
(253) 838-9700
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
56725
MN
207P00000X
Emergency Medicine Physician
Primary
61617542
WA
207P00000X
Emergency Medicine Physician
62573
WI
Other
Enumeration date
07/05/2012
Last updated
07/11/2025
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