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Individual

TYLER JONATHAN EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8117
(740) 353-1214
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8117
(740) 353-1214

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
34.009731
OH
2085R0202X
Diagnostic Radiology Physician
05111
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0106606
OH
05
7100347550
KY
Enumeration date
10/09/2009
Last updated
07/14/2025
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