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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER BLAIR EVANS, M.D.

Active Sole Proprietor

TYLER BLAIR EVANS, M.D. is a Public Health & General Preventive Medicine healthcare provider located in SCOTTS VALLEY, California. NPI 1912227125 is currently active in the NPPES registry. Verify at CMS.

Public Health & General Preventive Medicine · SCOTTS VALLEY, CA

Registration Details

NPI Number
1912227125
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2010 (16.162894897101 yrs)
Last Updated
Feb 14, 2023
Licenses
R72287 (AZ)
262216 (NY)
262216-1 (NY)
A148240 (CA)
Sole Proprietor
Yes

Practice Information

Address
250 QUAIL RIDGE RD
SCOTTS VALLEY, CA, 950664821
Browse CA providers · Browse ZIP 95066
Phone
4083419606
Additional Specialty
Internal Medicine

Other Public Health & General Preventive Medicine Providers in SCOTTS VALLEY, CA

Name Credential NPI
DR. ALICIA PARIS-POMBO M.D. 1679750830
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.