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Contact Information

BRUCE G EVANS, MD
1160 EAST 3900 SOUTH
SUITE 5000
SALT LAKE CITY, UT84124-1275
 Phone: 801-262-8486
 Fax: 801-284-8699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRUCE G EVANS · (Male)

NPI # 1942292446
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2005
Last updated 05/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 1684391205
  • UT Medicaid 870682101009
  • UT Medicaid D0774
Hospital affiliation(s)
  • JORDAN VALLEY MEDICAL CENTER - (Acute Care)
    3580 WEST 9000 SOUTH
    WEST JORDAN, UT 84088
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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