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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