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NPI Code Detail

MEDICARE: CHRISTOPHER P EVANS M.D.

MEDICARE: CHRISTOPHER P 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
1208800000XUrology Physician25535NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125535OTHERNVNV MD LICENCE
215251618OTHERNVCAQH

General Provider Information

NPI Number : 1356326060
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER P EVANS M.D.
Provider Business Mailing Address
First Line : 1155 MILL ST # M14
Second Line :
City : RENO
State : NV
Zip : 89502-1576
Country : US
Telephone Number : 775-982-5262
Fax Number : 775-982-5775
Provider Business Practice Location Address
First Line : 75 PRINGLE WAY STE 706
Second Line :
City : RENO
State : NV
Zip : 89502-1472
Country : US
Telephone Number : 775-982-5770
Fax Number : 775-982-5775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 04/26/2024

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Directions to “ CHRISTOPHER P EVANS M.D.” Practice Location

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