| Robert T Evans Dpm Plc | |
|
200 E Lone Pine Dr, Payson, AZ 85541-5519 | |
| (928) 474-9242 | |
| (928) 474-9241 |
| Full Name | Robert T Evans Dpm Plc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 200 E Lone Pine Dr, Payson, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245410059 | NPI | - | NPPES |
| Z108578 | Other | AZ | MEDICARE GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0605 (Arizona) | Primary |
| Provider Name | Robert T Evans |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578532248 PECOS PAC ID: 8123094273 Enrollment ID: I20040909000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert T Evans Dpm Plc 200 E Lone Pine Dr, Payson, AZ 85541-5519 Ph: (928) 474-9242 | Robert T Evans Dpm Plc 200 E Lone Pine Dr, Payson, AZ 85541-5519 Ph: (928) 474-9242 |
Dr. Ivan Dale Mclaws, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 200 E Lone Pine St, Payson, AZ 85541 Phone: 928-474-9242 Fax: 928-474-9241 | |
Dr. Robert T Evans, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 200 E Lone Pine Dr, Payson, AZ 85541 Phone: 928-474-9242 Fax: 928-474-9241 | |
Ivan D. Mclaws, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 200 East Lone Pine Dr., Payson, AZ 85541 Phone: 928-474-9242 |