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General NPI Number Information
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NPI Number | 1417055575
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Entity Type | Individual
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Provider Name | AROM EVANS MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 16600 CENTERFIELD DR STE 205
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City | EAGLE RIVER
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State | AK
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Zip | 99577-7702
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Country | US
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Telephone | 907-696-7466
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Fax | 907-696-7466
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Provider Business Mailing Address
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Address Line | 1050 WALL ST W STE 360
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City | LYNDHURST
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State | NJ
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Zip | 07071-3604
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Country | US
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Telephone | 907-696-7466
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Fax | 907-726-0332
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5403
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License Number State | AK
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