Individual
JONATHAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(412) 722-4232
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1875
WV
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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