Individual
DR. SEAN J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WEST ARBOR DRIVE, MC 8201, SAN DIEGO, CA 92103-8201
(619) 287-0147
(619) 543-3183
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A81217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A812170
—
CA
Enumeration date
12/13/2006
Last updated
10/10/2018
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