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Russell L Evans, PA-C
Physician Assistant in Lewiston, Idaho
NPI 1851871172

Russell L Evans is a Physician Assistant based in Lewiston, ID. Russell L Evans practices in Lewiston, ID and has the professional credentials of PA-C. The NPI Number for Russell L Evans is 1851871172 and holds a License No. 1851871172 (Idaho).

The current practice location address for Russell L Evans is 320 Warner Dr, Lewiston, ID and can be reached out via phone at 208-743-3523 and via fax at 208-746-8741.

Location: 320 Warner Dr, Lewiston, ID, 83501-4441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851871172
Provider Name
Russell L Evans
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
320 Warner Dr, Lewiston, ID, 83501-4441
Phone Number
208-743-3523
Fax Number
208-746-8741
Provider Enumeration Date
08/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851871172 05 WA
1851871172 05 ID
institution
Provider Business Practice Location Address Details
Address
320 Warner Dr
City
Lewiston
State
Idaho
Zip
83501-4441
Phone Number
208-743-3523
Fax Number
208-746-8741
person
Provider Business Mailing Address Details
Address
320 Warner Dr
City
Lewiston
State
Idaho
Zip
83501-4441
Phone Number
208-743-3523
Fax Number
208-746-8741
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
PA61007077 (Washington)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Computed Tomography
Taxonomy
2471C3401X
License No.
408447 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
2471C3402X
License No.
408447 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1851871172 (Idaho)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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