Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emerson V Evans, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669231338

Emerson V Evans, DO is a Student in an Organized Health Care Education/Training Program in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

500 W Fort St # 111R
Boise, ID 83702-4501
Phone: (208) 422-1000
Fax: (208) 422-1536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MRO-2356 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669231338
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 15, 2024
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing address500 W Fort St # 111r, Boise, ID 83702-4501

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