Individual
DR. BRUCE G EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1160 EAST 3900 SOUTH, SUITE 5000, SALT LAKE CITY, UT 84124-1275
(801) 262-8486
(801) 284-8699
Mailing address
1160 EAST 3900 SOUTH, SUITE 5000, SALT LAKE CITY, UT 84124-1275
(801) 262-8486
(801) 284-8699
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
1684391205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870682101009
—
UT
05
—
D0774
—
UT
Enumeration date
08/19/2005
Last updated
05/18/2011
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