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Individual

ROBERT L. EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00035000
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0128713
L & I
WA
05
8226367
WA
01
8906167
CRIME VICTIMS
WA
Enumeration date
04/04/2007
Last updated
02/22/2008
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