Provider Demographics
NPI:1710079769
Name:EVERS, JAMES MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:EVERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2141 N BEVERLY
Mailing Address - Street 2:STE 101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2155
Mailing Address - Country:US
Mailing Address - Phone:520-326-4349
Mailing Address - Fax:520-325-0531
Practice Address - Street 1:2141 N BEVERLY
Practice Address - Street 2:STE 101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2155
Practice Address - Country:US
Practice Address - Phone:520-326-4349
Practice Address - Fax:520-325-0531
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7655207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
860376932OtherTAX ID USED FOR ALL OTHER
AZ231978Medicaid
860376932OtherTAX ID USED FOR ALL OTHER