Organization
MOUNTAIN VIEW FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN FRAYSER EVANS D. O. (CO-PRESIDENT)
(928) 474-2888
Entity
Organization
Contact information
Practice address
122 E MAIN ST, PAYSON, AZ 85541-5646
(928) 474-2888
(928) 474-2992
Mailing address
122 E MAIN ST, PAYSON, AZ 85541-5646
(928) 474-2888
(928) 474-2992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3727
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z4223
HEALTHNET
AZ
01
—
1Z9946
HEALTHNET
AZ
01
—
2110075
FIRST HEALTH
AZ
01
—
2110081
FIRST HEALTH
AZ
01
—
21233109113
BEECHSTREET
AZ
01
—
21233109178
BEECHSTREET
AZ
01
—
5280193
AETNA
AZ
01
—
5452719
COMMUNITY CARE NETWORK
AZ
01
—
5455722
COMMUNITY CARE NETWORK
AZ
01
—
7428465
AETNA
AZ
05
—
788945
—
AZ
05
—
793217
—
AZ
01
—
AZ0734330
BCBS OF ARIZONA
AZ
01
—
AZ0734720
BCBS OF ARIZONA
AZ
01
—
P00024145
RAILROAD MEDICARE
AZ
01
—
P00024147
RAILROAD MEDICARE
AZ
Enumeration date
05/28/2006
Last updated
10/03/2008
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