Individual
CASEY J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2240 ADAMS AVE, OGDEN, UT 84401-1511
(013) 935-3558
Mailing address
2240 ADAMS AVE, OGDEN, UT 84401-1511
(801) 393-5355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11891038-1206
UT
363A00000X
Physician Assistant
11891038-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2020
Last updated
04/06/2026
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