Individual
CHARLIE EDWARD EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 HOSPITAL DR, UKIAH, CA 95482-4531
(707) 462-7900
(707) 462-7947
Mailing address
275 HOSPITAL DR, UKIAH, CA 95482-4531
(707) 462-7900
(707) 462-7947
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G51002
CA
207Q00000X
Family Medicine Physician
G51002
CA
Other
Enumeration date
05/06/2006
Last updated
03/31/2008
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