Individual
DR. ANNE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 IRONGATE CTR, GLENS FALLS, NY 12801-3471
(910) 343-7000
Mailing address
1 IRONGATE CTR, GLENS FALLS, NY 12801-3471
(910) 343-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
295773
NY
390200000X
Student in an Organized Health Care Education/Training Program
208596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609263748
—
NC
Enumeration date
04/15/2015
Last updated
09/13/2018
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