Individual
MR. WILLIAM CHARLES EVANS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 STATE ST, SUITE 106, ERIE, PA 16507-1427
(814) 877-6195
Mailing address
8870 PARSON RD, ERIE, PA 16509-5044
(814) 864-8887
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003011
PA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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