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Individual

GENE H EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
535 6TH ST, PAWNEE, OK 74058-2542
(918) 762-3942
(918) 762-4675
Mailing address
PO BOX 387, PAWNEE, OK 74058-0387
(918) 762-3942
(918) 762-4675

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21798
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100153150A
OK
Enumeration date
02/08/2006
Last updated
03/02/2011
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