Individual
MR. RONALD A EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 N BUTTERFIELD RD, BOLIVAR, MO 65613-3016
(417) 326-6021
(417) 326-6347
Mailing address
1240 N BUTTERFIELD RD, BOLIVAR, MO 65613-3016
(417) 326-6021
(417) 326-6347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8H51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22266
BCBS OF MO #
MO
Enumeration date
07/24/2006
Last updated
07/09/2007
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