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Organization
RICHARD M. EVANS, D.P.M., P.C.
Active
Organization
RICHARD M. EVANS, D.P.M., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MARCUS EVANS D.P.M. (PRESIDENT)
(402) 474-4766
Entity
Organization
Contact information
Practice address
3401 O ST, LINCOLN, NE 68510-1541
(402) 474-4766
(402) 474-5957
Mailing address
3401 O ST, LINCOLN, NE 68510-1541
(402) 474-4766
(402) 474-5957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
132
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091287
MEDICARE
NE
Enumeration date
09/13/2007
Last updated
04/20/2008
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