Search › Idaho › 363A00000X
Russell Evans, PA-C
NPI 1851871172 · on the registry since 2018
Practice
- Address
- 320 Warner Dr
Lewiston, ID 83501 - Phone
- (208) 743-3523
- Fax
- (208) 746-8741
- Organisation at this address
- St Joseph Hospital Llc
Catalyst Medical Group, Pllc
Lewiston Orthopaedic Associates PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 415 6th St, Lewiston, Id, Lewiston, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 2085R0204X
2471C3401X
2471C3402X
363A00000X - Licence states on file
- ID, MN, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho