Individual
EVON JOHN LOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2113
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
80610
AZ
207P00000X
Emergency Medicine Physician
Primary
R80240
AZ
Other
Enumeration date
05/05/2023
Last updated
06/16/2026
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