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Individual

SHAUN EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1000 E 100 N, PAYSON, UT 84651-1600
(800) 748-4868
(801) 733-5872
Mailing address
926 ARROWHEAD TRAIL RD, SPANISH FORK, UT 84660-9240
(801) 794-9937

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201863-4406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107027461101
IHC
UT
01
107027461102
IHC
UT
01
190382600
US DEPT OF LABOR
UT
01
23201
HEALTHY U
UT
01
270041325SSE
EDUCATORS MUTUAL
UT
05
8053049
NC
01
820936
DESERET MUTUAL
UT
01
8401401924SHE
EDUCATORS MUTUAL
UT
01
841401924
PHCS
UT
01
QM0000073445
ALTIUS
UT
01
QM0000076595
ALTIUS
UT
01
QM0000076612
ALTIUS
UT
01
TPRA08324
MOLINA
UT
Enumeration date
07/24/2006
Last updated
03/26/2008
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