Provider Demographics
NPI:1407113087
Name:EVANS, JOSHUA ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ANDREW
Last Name:EVANS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOSHUA
Other - Middle Name:ANDREW
Other - Last Name:PAYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 S CHERRY ST STE 420
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2664
Mailing Address - Country:US
Mailing Address - Phone:702-502-5670
Mailing Address - Fax:702-502-5679
Practice Address - Street 1:950 S CHERRY ST STE 420
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-2664
Practice Address - Country:US
Practice Address - Phone:702-502-5670
Practice Address - Fax:702-502-5679
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO554172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry