Individual
DR. PATRICIA RAE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3269 STOCKTON HILL ROAD, KINGMAN, AZ 86409-6972
(928) 757-2101
Mailing address
664 CARLTON ST, KINGMAN, AZ 86409-6972
(928) 692-0541
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21895
AZ
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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