Michael Rand Evans, M.D.
Individual provider Active NPI Surgery Physician · Fort Harrison, MT
NPI 1619984473 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619984473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 23246 (MN)
- Practice address
- 1892 Williams St
Fort Harrison V.a. Medical Center
Fort Harrison, MT 59636 - Phone
- (406) 442-6410
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 23246 | MN | Yes |
Addresses
Primary practice location
1892 Williams St
Fort Harrison V.a. Medical Center
Fort Harrison, MT 59636
Mailing address
526 S Harris St
Helena, MT 59601-5400
Phone (406) 457-1977
Other providers in Fort Harrison, MT
- Dan Ray Duncan
- Andrew John Eberling
- Karen R Enhelder
- Susan Elizabeth Epstein
- Matthew Stephen Erickson
- Lyn Feisthamel
- Ian Fitzgerald
- Lori Boldt Fitzgerald
- Richard Forrette
- Michael R Gantz
All providers in Fort Harrison, MT · Surgery Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.