Organization
EVOLENT SPECIALTY SERVICES, INC.
Active
Organization
EVOLENT SPECIALTY SERVICES, INC.
Active
Other names
Evolent Surgical Management
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PRITCHARD (PRESIDENT)
(866) 753-0046
Entity
Organization
Contact information
Practice address
1812 N MOORE ST STE 1705, ARLINGTON, VA 22209-1811
(866) 753-0046
Mailing address
1812 N MOORE ST STE 1705, ARLINGTON, VA 22209-1811
(866) 753-0046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/11/2007
Last updated
10/30/2024
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