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Organization

ROBERT A. EVANS

Active
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Organization

ROBERT A. EVANS

Active
Other names
Middlefield Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT A. EVANS D.O. (PRESIDENT)
(440) 632-0770
Entity
Organization

Contact information

Practice address
16030 E HIGH ST, MIDDLEFIELD, OH 44062-9474
(440) 632-0770
(440) 632-0321
Mailing address
16030 E HIGH ST, PO BOX 1027, MIDDLEFIELD, OH 44062-9474
(440) 632-0770
(440) 632-0321

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34001271E
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226384
—
OH
Enumeration date
05/04/2007
Last updated
01/19/2010
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