Provider Demographics
NPI:1669560389
Name:EVANS, JAMES H III (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:EVANS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:15029 N THOMPSON PEAK PKWY
Mailing Address - Street 2:STE B111
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2223
Mailing Address - Country:US
Mailing Address - Phone:623-845-0664
Mailing Address - Fax:623-845-0667
Practice Address - Street 1:8466 W PEORIA AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6548
Practice Address - Country:US
Practice Address - Phone:623-845-0664
Practice Address - Fax:623-845-0667
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2016-11-10
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Provider Licenses
StateLicense IDTaxonomies
AZ28668207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH21134Medicare UPIN