Individual
DR. FLOYD R EVERHART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
Mailing address
10700 E GEDDES AVE, NO 200, ENGLEWOOD, CO 80112-3800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17201
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01172014
—
CO
01
—
020736
KAISER COMMERCIAL NUMBER
CO
05
—
104693074
—
MI
05
—
118190400
—
WY
05
—
200418250A
—
KS
01
—
300089926
RR MCRE MIC
CO
01
—
300089996
RR MCRE DIA
CO
01
—
300090119
RR MCRE RIA
CO
05
—
7617655
—
NC
05
—
84-059792913
—
NE
05
—
920737
—
AZ
05
—
XPY201231
—
CA
Enumeration date
12/21/2005
Last updated
06/15/2012
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