Individual
JEFFERY B EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1835 FRANKLIN ST, DENVER, CO 80218-1126
(303) 743-5855
Mailing address
1024 55TH ST, BOULDER, CO 80303-2930
(303) 278-7581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1324
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013413
KAISER-COMMERCIAL NUMBER
—
05
—
76705226
—
CO
Enumeration date
04/19/2007
Last updated
01/07/2011
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