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Individual

DR. MARK ALAN EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D,

Contact information

Practice address
3567 SCIOTO RUN BLVD, HILLIARD, OH 43026-3013
(614) 876-0563
(614) 876-4678
Mailing address
3567 SCIOTO RUN BLVD, HILLIARD, OH 43026-3013
(614) 876-0563
(614) 876-4678

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35052367
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0600291
OH
Enumeration date
08/01/2006
Last updated
07/08/2007
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