MR. Mark Thain Evans, PA-C

NPI #1861606154 in Riverton, Utah

Provider Information

NPI Number
1861606154
Entity Type
Individual
Name
MR. Mark Thain Evans, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
May 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
17800 CAMP WILLIAMS RD
Address 2
BLDG 9000 SUITE 200
State
Utah
ZIP Code
84065-4905
Phone
(801) 523-4406

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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