Dr LARRY C EVANS DO is a male medical professional, specializing in Gastroenterology. He graduated in 2001 from Kirksville College Of Osteopathic Medicine.
GRAND TETON GASTROENTEROLOGY PA
2770 CORTEZ AVE
IDAHO FALLS
ID
834047590
Tel: 2085224000
| Npi | 1669540522 |
| Pac Id | 9133105646 |
| Professional Enrollment Id | I20080612000115 |
| Last Name | EVANS |
| First Name | LARRY |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | GRAND TETON GASTROENTEROLOGY PA |
| Group Practice Pac Id | 2860305786 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 2770 CORTEZ AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834047590 |
| Phone Number | 2085224000 |
| Hospital Affiliation Ccn 1 | 130018 |
| Hospital Affiliation Lbn 1 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130065 |
| Hospital Affiliation Lbn 2 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 3 | 130007 |
| Hospital Affiliation Lbn 3 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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