Individual
DR. BROGAN GREGORY ANDERSON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A209600
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
V5751
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2019
Last updated
05/26/2026
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