Individual
THOMAS MCEVILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5308 STONEHEDGE BLVD APT 6, FORT WAYNE, IN 46835-3055
(812) 606-1102
Mailing address
5308 STONEHEDGE BLVD APT 6, FORT WAYNE, IN 46835-3055
(812) 606-1102
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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