Individual
DR. CRAIG RANDALL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1208 W 15TH ST, EDMOND, OK 73013-3001
(405) 340-2100
(405) 340-1184
Mailing address
4401 W MEMORIAL RD, #140, OKLAHOMA CITY, OK 73134-1785
(405) 755-1515
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13180
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255260B
—
OK
Enumeration date
07/21/2006
Last updated
12/28/2017
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