Individual
CRYSTALLE M EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4526
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5209
OK
Other
Enumeration date
09/17/2012
Last updated
01/24/2024
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