Provider Demographics
NPI:1417108911
Name:EVANS, ANTHONY D (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:D
Last Name:EVANS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5490 POWERS CENTER PT STE 148
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7167
Mailing Address - Country:US
Mailing Address - Phone:719-278-3612
Mailing Address - Fax:866-381-4173
Practice Address - Street 1:5490 POWERS CENTER PT STE 148
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7167
Practice Address - Country:US
Practice Address - Phone:719-278-3612
Practice Address - Fax:866-381-4173
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6277111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor