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NPI Code Detail

MEDICARE: DR. MEGAN M EVANS MD

MEDICARE: DR. MEGAN M 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
1207Q00000XFamily Medicine Physician12221MT

General Provider Information

NPI Number : 1366602559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGAN M EVANS MD
Provider Business Mailing Address
First Line : 445 CENTENNIAL AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-2870
Country : US
Telephone Number : 406-723-4075
Fax Number : 406-496-6035
Provider Business Practice Location Address
First Line : 125 E GLENDALE ST
Second Line :
City : DILLON
State : MT
Zip : 59725-2505
Country : US
Telephone Number : 406-683-4440
Fax Number : 406-683-1121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2008
Last Update Date : 03/25/2025

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