Individual
DR. MICHAEL JOSEPH EVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4094 4TH AVE, SUITE 200, MC 0834, SAN DIEGO, CA 92103-2143
(312) 282-2638
Mailing address
4094 4TH AVE, SUITE 200, MC 0834, SAN DIEGO, CA 92103-2143
(312) 282-2638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054416
IL
2085R0202X
Diagnostic Radiology Physician
A124040
CA
2085R0202X
Diagnostic Radiology Physician
Primary
R7727
TX
Other
Enumeration date
07/10/2008
Last updated
03/04/2024
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