Organization
GREG T. EVANS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG EVANS DPM (PODIATRIST)
(570) 288-3677
Entity
Organization
Contact information
Practice address
908 WYOMING AVE STE C, WYOMING, PA 18644-1300
(570) 288-3677
(570) 489-4583
Mailing address
908 WYOMING AVE STE C, WYOMING, PA 18644-1300
(570) 288-3677
(570) 489-4583
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC003363L
PA
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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