Individual
DR. IRA K. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ORTHOPEDIC DR, 2ND FLOOR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Mailing address
1 ORTHOPEDIC DR, 2ND FLOOR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
76107
MA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
76107
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
76107
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096408
—
MA
01
—
76107
TUFTS
MA
01
—
J12491
BCBS
MA
Enumeration date
01/04/2006
Last updated
11/20/2009
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