Individual
MR. DANIAL PAUL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MLS, ATC
Contact information
Practice address
550 W HWY 50, SALIDA, CO 81201-2238
(719) 530-2040
Mailing address
PO BOX 595, PONCHA SPRINGS, CO 81242-0595
(785) 650-7194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
974
CO
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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