Individual
DAVID GARY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 S MELROSE DR, SUITE 104, VISTA, CA 92081-6642
(760) 806-4355
(760) 806-4363
Mailing address
1777 KINGS RD, VISTA, CA 92084-3640
(760) 500-1651
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
G55686
CA
Other
Enumeration date
09/16/2006
Last updated
07/09/2007
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