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NPI Code Detail

MEDICARE: GAIL M EVANS PA

MEDICARE: GAIL M EVANS PA
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
1363A00000XPhysician AssistantPA0004881CO
2363A00000XPhysician Assistant50002272OH
3363AS0400XSurgical Physician AssistantPA.0004881CO

General Provider Information

NPI Number : 1932105657
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL M EVANS PA
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2045 N FRANKLIN ST
Second Line :
City : DENVER
State : CO
Zip : 80205-5437
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 10/16/2024

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Directions to “ GAIL M EVANS PA” Practice Location

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