Individual
ROBERT D EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 N LEE AVE, SUITE 236, OKLAHOMA CITY, OK 73103-2620
(405) 524-4105
(405) 235-0738
Mailing address
1111 N LEE AVE, STE 236, OKLAHOMA CITY, OK 73103-2600
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17824
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050035141
RR MEDICARE
OK
05
—
100029470A
—
OK
Enumeration date
11/08/2005
Last updated
02/17/2010
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