Individual
EMILY REUS BEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10121 PINE AVE FL 2, TRUCKEE, CA 96161-4856
(530) 587-1041
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD6064414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065249
—
WA
Enumeration date
06/28/2012
Last updated
08/02/2024
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