Individual
CODY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 510-6200
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5679
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101269633
VA
207XX0801X
Orthopaedic Trauma Physician
2018-00864
NC
Other
Enumeration date
04/02/2013
Last updated
07/15/2021
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