Individual
DR. WILLIAM WALKER EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
2710 EUREKA WAY, SUITE 3, REDDING, CA 96001-0230
(530) 241-6374
(530) 241-5140
Mailing address
2710 EUREKA WAY, SUITE 3, REDDING, CA 96001-0230
(530) 241-6374
(530) 241-5140
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
17716
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
A 55473
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS 20
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B89020-01
—
CA
Enumeration date
09/17/2006
Last updated
07/08/2007
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