Individual
DR. RICHARD E EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Mailing address
98 ROGERS RD, YARMOUTH, ME 04096-7145
(207) 650-2803
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
012702
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018104
ANTHEM
ME
05
—
246560099
—
ME
05
—
30201148
—
NH
01
—
3240685
AETNA
ME
01
—
E30537
HPHC
ME
01
—
M4872
CIGNA
ME
Enumeration date
11/14/2006
Last updated
03/15/2011
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