Individual
ANDREW R EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 457-1560
(401) 831-8992
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 443-4150
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
MD00047809
WA
207XX0801X
Orthopaedic Trauma Physician
Primary
MD15400
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8482572
—
WA
Enumeration date
05/30/2007
Last updated
04/25/2016
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