Individual
MR. DAVID EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3533 SOUTHERN BLVD STE 2250, KETTERING, OH 45429-1270
(937) 534-0330
(937) 522-8995
Mailing address
3533 SOUTHERN BLVD STE 2250, KETTERING, OH 45429-1270
(937) 534-0330
(937) 522-8995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50000431
OH
363AS0400X
Surgical Physician Assistant
Primary
50000431
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088798
—
OH
Enumeration date
07/08/2005
Last updated
01/12/2021
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