IndividualActive
Larry Evans, D.O.
NPI 1669540522 · Gastroenterology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1669540522
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- O-0468 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2770 Cortez Ave
Idaho Falls, ID 83404-7590
Phone: (208) 522-4000
Fax: (208) 528-4254
Approximate (ZIP-level) locationGet directions
Mailing address
2770 Cortez Ave
Idaho Falls, ID 83404-7590
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2013-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.