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Individual
DR. PATRICK J EVOY
Active
Individual
DR. PATRICK J EVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00128
OR
213ES0000X
Sports Medicine Podiatrist
DP00128
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
DP00128
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13535
CLEAR CHOICE/COIHS
OR
05
—
217489
—
OR
01
—
R00WFBFKA
MEDICARE
OR
Enumeration date
12/05/2005
Last updated
02/05/2008
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