Individual
DR. DANA RENEE EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
(580) 208-3032
Mailing address
RR 5 BOX 595, BROKEN BOW, OK 74728-8947
(580) 420-3551
(580) 208-3032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12581
OK
Other
Enumeration date
09/16/2005
Last updated
07/08/2007
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