Individual
DR. JOHN C EVEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-7000
(970) 237-7848
Mailing address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-7000
(970) 237-7848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35867
IA
207R00000X
Internal Medicine Physician
Primary
DR.0065126
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00335578
RR MEDICARE
IA
Enumeration date
05/11/2006
Last updated
08/17/2020
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