Individual
SPENCER I EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8645 E 49TH PL, DENVER, CO 80238-3737
(203) 253-2365
Mailing address
8645 E 49TH PL, DENVER, CO 80238-3737
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CO
Enumeration date
03/14/2022
Last updated
03/14/2022
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