Individual
ROBERT FREDERICK EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581
(228) 809-5000
Mailing address
PO BOX 3488, DEPT 05-113, TUPELO, MS 38803-3488
(888) 818-0563
(228) 284-0622
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22770
MS
207L00000X
Anesthesiology Physician
25494
NC
207L00000X
Anesthesiology Physician
DO-93
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014864
—
MS
Enumeration date
07/08/2010
Last updated
01/30/2019
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