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1346223369

NPI Code Detail

MEDICARE: SCOTT J. J. EVANS MD

MEDICARE: SCOTT J. J. EVANS MD

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	2085B0100X	Body Imaging Physician	37139	CO
2	2085N0700X	Neuroradiology Physician	37139	CO
3	2085N0904X	Nuclear Radiology Physician	37139	CO
4	2085P0229X	Pediatric Radiology Physician	37139	CO
5	2085R0202X	Diagnostic Radiology Physician	37139	CO

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

General Provider Information

NPI Number	:	1346223369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT J. J. EVANS MD

Provider Business Mailing Address
First Line	:	4860 Y STREET
Second Line	:	SUITE 3100
City	:	SACRAMENTO
State	:	CA
Zip	:	95817
Country	:	US
Telephone Number	:	916-734-3606
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 W 38TH AVE
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-6005
Country	:	US
Telephone Number	:	303-425-2015
Fax Number	:

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	10/25/2021

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Directions to “ SCOTT J. J. EVANS MD” Practice Location

Language	Start Address	Practice Location

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