Individual
EVAN GEORGE
Active
Individual
EVAN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
MD00028469
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD00028469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231074
L&I
WA
05
—
1093890824
—
WA
01
—
2011285
INTERNAL ID-MOTOR VEHICLE ID
—
01
—
P00271089
RAILROAD MEDICARE
WA
Enumeration date
10/27/2006
Last updated
05/26/2011
Update your record
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