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Individual
DR. EVAN K FRAM
Active
Individual
DR. EVAN K FRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
17757
AZ
2085R0202X
Diagnostic Radiology Physician
17757
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7046
HEALTH NET OF AZ
AZ
05
—
296865
—
AZ
01
—
AZ0382100
BCBSAZ
AZ
01
—
XPY108680
MEDI-CAL MEDICAID
AZ
Enumeration date
03/29/2006
Last updated
11/30/2007
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