Individual
DR. EVAN JAMES ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M,D.
Contact information
Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-1093
(405) 271-3013
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-1093
(405) 271-3013
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28473
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200337370A
—
OK
Enumeration date
04/30/2010
Last updated
08/19/2014
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