Healthcare Provider Details

I. General information

NPI: 1063401263
Provider Name (Legal Business Name): CHRISTOPHER JOHN EVANS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 5TH AVE
YORK PA
17403-2632
US

IV. Provider business mailing address

1777 5TH AVE
YORK PA
17403-2632
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-8871
  • Fax: 717-812-8624
Mailing address:
  • Phone: 717-812-8871
  • Fax: 717-812-8624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOS009169L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: