Individual
DR. JOHN ROBERT EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 E 21ST STREET SUITE, SAN BERNARDINO, CA 92404
(909) 886-2609
(909) 886-0328
Mailing address
355 E 21ST STREET SUITE H, SAN BERNARDINO, CA 92404
(909) 886-2609
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G50624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G506240
—
CA
Enumeration date
07/26/2006
Last updated
04/11/2022
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