Individual
MR. MARK STEVEN EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
724 POSTAL SERVICE LOOP, FORT RICHARDSON, AK 99505-5001
(907) 384-0763
(907) 384-0607
Mailing address
305 NORDALE RD N, FAIRBANKS, AK 99712-3243
(907) 384-0763
(907) 384-0607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23870
AK
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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