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Individual
STEVEN RAY EVANS
Active
Individual
STEVEN RAY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11439
NC
363A00000X
Physician Assistant
0110002641
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1072845
PA CERTIFICATION
—
05
—
1417064718
—
VA
01
—
P00455781
MEDICARE RAILROAD
VA
Enumeration date
08/23/2006
Last updated
05/16/2025
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