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Individual
DR. GEORGE H EVANCHO
Active
Individual
DR. GEORGE H EVANCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000375
VA
213E00000X
Podiatrist
179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211329
MAMSI
VA
01
—
358171
ANTHEM
VA
01
—
480017876
MEDICARE RAILROAD
VA
01
—
52487
OPTIMA
VA
Enumeration date
07/20/2005
Last updated
12/03/2009
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