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Individual

DR. DAVID ROY M EVANGELISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
888 SWIFT BLVD., RICHLAND, WA 99352
(509) 946-4611
(509) 942-3115
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60105620
WA
208000000X
Pediatrics Physician
MD60105620
WA
208M00000X
Hospitalist Physician
MD60105620
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025904
KRMC L&I GROUP NUMBER
WA
05
1689600165
WA
Enumeration date
06/24/2006
Last updated
05/18/2021
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