Individual
DR. DAVID A EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
(916) 233-4171
Mailing address
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
(916) 233-4171
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
G65618
CA
207YP0228X
Pediatric Otolaryngology Physician
Primary
G65618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040003544
RR MEDICARE PIN
CA
Enumeration date
05/24/2005
Last updated
12/10/2020
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