Most Relevant Information
Provider Data
| NPI Number: | 1003031378 |
| Provider Name: | EVAN R LAW PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 361472-1206 |
Most Important Dates
| Enumeration Date: | 04/13/2007 |
| Last Updated: | 09/12/2019 |
Provider Practice Location
444 W BOURNE CIR STE 200
FARMINGTON
UT
840253657
Practice Location Phone/Fax
| Phone: | 8017760174 |
| Fax: | 8012853904 |
Provider Mailing Location
444 W BOURNE CIR STE 200
FARMINGTON
UT
840253657
Provider Mailing Phone/Fax
| Phone: | 8013973000 |
| Fax: | 8013970455 |