Individual
EUGENE EVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11365 DORSETT RD., MARYLAND HEIGHTS, MO 63043
(314) 872-6430
(314) 872-6500
Mailing address
11365 DORSETT RD., MARYLAND HEIGHTS, MO 63043
(314) 872-6430
(314) 872-6500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2008009812
MO
208100000X
Physical Medicine & Rehabilitation Physician
BB4745785
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336367226
—
MO
Enumeration date
04/23/2007
Last updated
03/19/2009
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