MEDICARE: DR. JAMES S EVANS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	23902	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	Z127485	OTHER	AZ	PTAN
3	23902	OTHER	AZ	STATE LICENSE

General Provider Information

NPI Number	:	1295721413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES S EVANS M.D.

Provider Business Mailing Address
First Line	:	5055 E BROADWAY BLVD
Second Line	:	SUITE A-100
City	:	TUCSON
State	:	AZ
Zip	:	85711-3640
Country	:	US
Telephone Number	:	520-327-0460
Fax Number	:	520-795-0225

Provider Business Practice Location Address
First Line	:	2102 N COUNTRY CLUB RD STE 3
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-2856
Country	:	US
Telephone Number	:	520-420-2250
Fax Number	:	520-420-2251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	09/12/2023

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Directions to “ DR. JAMES S EVANS M.D.” Practice Location

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