Individual provider · Type 1 NPI

Mark Gordon Evans, MD

Student in an Organized Health Care Education/Training Program · Orange, CA

NPI number 1013362482 Active

Practice location

101 The City Dr S, Bldg. 1, Rm. 3622, Zot 4805
Orange, CA 92868-3201

Call (714) 456-6411 Map

Fax (949) 824-2160

Mailing address

1986 E Farm Cir
Sandy, UT 84093-6296

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013362482

Mark Gordon Evans, MD's National Provider Identifier is 1013362482, issued on May 4, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange, CA. The record was last updated on May 4, 2016.