Individual
DR. JAKE LEE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 STANTON L YOUNG BLVD, AAT 6300, OKLAHOMA CITY, OK 73104
(405) 271-5963
Mailing address
800 STANTON L YOUNG BLVD, ANDREWS ACADEMIC TOWER 6300, OKLAHOMA CITY, OK 73104
(405) 271-5963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41480
OK
2085R0202X
Diagnostic Radiology Physician
Primary
41480
OK
Other
Enumeration date
04/15/2020
Last updated
09/24/2024
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