Organization
JOHN R EVANS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R EVANS MD (OWNER)
(909) 886-2609
Entity
Organization
Contact information
Practice address
399 E HIGHLAND AVE, SUITE 110, SAN BERNARDINO, CA 92404-3808
(909) 886-2609
Mailing address
399 E HIGHLAND AVE, SUITE 110, SAN BERNARDINO, CA 92404-3808
(909) 886-2609
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0051140
—
CA
Enumeration date
05/29/2008
Last updated
05/29/2008
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