Individual
DR. THOMAS O EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 BELMONT AVE, SUITE 2, BRATTLEBORO, VT 05301-7110
(802) 257-7792
Mailing address
21 BELMONT AVE, SUITE 2, BRATTLEBORO, VT 05301-7110
(802) 257-7792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000405
—
VT
Enumeration date
07/07/2005
Last updated
07/08/2007
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