Organization
RICHARD A. EVANS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A. EVANS M.D. (PRESIDENT)
(207) 564-0715
Entity
Organization
Contact information
Practice address
14 WINTER ST, DOVER FOXCROFT, ME 04426-1023
(207) 564-0715
(207) 564-0717
Mailing address
14 WINTER ST, DOVER FOXCROFT, ME 04426-1023
(207) 564-0715
(207) 564-0717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
013561
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060452
ANTHEM
ME
05
—
180290000
—
ME
01
—
3128758
AETNA - HMO
ME
01
—
5504468
AETNA - NON-HMO
ME
01
—
P00018335
RAILROAD MEDICARE
ME
Enumeration date
02/15/2007
Last updated
06/25/2008
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