Provider Demographics
NPI:1356326060
Name:EVANS, CHRISTOPHER P (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:P
Last Name:EVANS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1155 MILL ST # M14
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1576
Mailing Address - Country:US
Mailing Address - Phone:775-982-5262
Mailing Address - Fax:775-982-5775
Practice Address - Street 1:75 PRINGLE WAY STE 706
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1472
Practice Address - Country:US
Practice Address - Phone:775-982-5770
Practice Address - Fax:775-982-5775
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2024-04-26
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Provider Licenses
StateLicense IDTaxonomies
NV25535208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV25535OtherNV MD LICENCE
NV15251618OtherCAQH
CA00G702890Medicaid