Individual
ALLEN M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1351 E SPRUCE AVE, FRESNO, CA 93720
(559) 432-3303
(559) 432-1468
Mailing address
1351 E SPRUCE AVE, FRESNO, CA 93720-3342
(559) 432-3303
(559) 432-1468
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G73994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G739940
—
CA
01
—
040014990
RAILROAD MEDICARE
CA
Enumeration date
03/23/2006
Last updated
06/05/2018
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