Organization
EUGENE EVRA, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE EVRA MD (MANAGER)
(314) 484-0782
Entity
Organization
Contact information
Practice address
156 N BEMISTON AVE, CLAYTON, MO 63105-3811
(314) 484-0782
Mailing address
156 N BEMISTON AVE, CLAYTON, MO 63105-3811
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
2008009812
MO
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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