Healthcare Provider Details

I. General information

NPI: 1366602559
Provider Name (Legal Business Name): MEGAN M EVANS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E GLENDALE ST
DILLON MT
59725-2505
US

IV. Provider business mailing address

445 CENTENNIAL AVE
BUTTE MT
59701-2870
US

V. Phone/Fax

Practice location:
  • Phone: 406-683-4440
  • Fax: 406-683-1121
Mailing address:
  • Phone: 406-723-4075
  • Fax: 406-496-6035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12221
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: