Individual
DR. THOMAS RUSSELL EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2959 SISKIYOU BLVD STE B, MEDFORD, OR 97504-8131
(541) 773-3636
(541) 773-4643
Mailing address
2959 SISKIYOU BLVD STE B, MEDFORD, OR 97504-8131
(541) 773-3636
(541) 773-4643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DO201198
OR
286500000X
Military Hospital
—
VA
Other
Enumeration date
06/13/2011
Last updated
09/21/2021
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