Individual
GEORGE V EVANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2771 HEMLOCK ST, SUITE 201, BREMERTON, WA 98310-2689
(360) 377-7634
(360) 479-6157
Mailing address
2771 HEMLOCK ST, SUITE 201, BREMERTON, WA 98310-2689
(360) 377-7634
(360) 479-6157
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00031897
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043206972
NPI
—
05
—
1088566
—
WA
Enumeration date
09/26/2005
Last updated
01/31/2011
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