Individual
DR. PETER ABRAHAM EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
23 E INDEPENDENCE ST, SHAMOKIN, PA 17872-6803
(570) 648-8531
Mailing address
23 E INDEPENDENCE ST, SHAMOKIN, PA 17872-6803
(570) 648-8531
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003891L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014833690002
—
PA
01
—
480017859
RAIL ROAD MEDICARE
PA
Enumeration date
01/21/2007
Last updated
06/18/2009
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