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Individual

DORIS A EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35030913
OH
208D00000X
General Practice Physician
35030913
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0245372
OH
Enumeration date
09/13/2006
Last updated
11/13/2020
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