| Doctor Name: | BRIAN D EVANS |
| NPI Number: | 1841290798 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A67869 |
| Business Practice Address: | 155 Glasson Way Grass Valley, CA - 959455723 |
| Business Phone Number: | 5302746001 |
| Business Fax Number: | |
| Mailing Address: | 103 Providence Mine Rd, Suite 202 NEVADA CITY |
| State: | CA |
| Postal Code: | 959592941 |
| Phone Number: | 5304708377 |
| Fax Number: | 5304708906 |
| NPI Enumeration Date: | 07/21/2005 |
| NPI Last Update Date: | 12/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A67869 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |