| Doctor Name: | EVAN R LAW |
| NPI Number: | 1003031378 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 361472-1206 |
| Business Practice Address: | 520 Medical Dr Suite #300 Bountiful, UT - 840104968 |
| Business Phone Number: | 8012921315 |
| Business Fax Number: | 8012953411 |
| Mailing Address: | 520 Medical Dr, Suite #310 BOUNTIFUL |
| State: | UT |
| Postal Code: | 840104968 |
| Phone Number: | 8013973000 |
| Fax Number: | 8013970455 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 09/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 361472-1206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |