Individual
DR. GALEN MARK EVERSOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 N PECOS RD, SUITE E, HENDERSON, NV 89074-1349
(702) 675-7100
(702) 675-7101
Mailing address
301 N PECOS RD, SUITE E, HENDERSON, NV 89074-1349
(702) 675-7100
(702) 675-7101
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12724
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
38786
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
83-190
NM
Other
Enumeration date
08/13/2007
Last updated
07/05/2012
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