Individual
TANYA B. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18700 N 64TH DR STE 301, GLENDALE, AZ 85308-7114
(602) 883-3700
(602) 883-3703
Mailing address
18700 N 64TH DR STE 301, GLENDALE, AZ 85308-7114
(602) 883-3700
(602) 883-3703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25590
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401216
—
AZ
Enumeration date
06/15/2006
Last updated
12/06/2017
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