Individual
DOUGLAS EUGENE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 MOSAIC CT STE 200, SAINT JOSEPH, MO 64506-0015
(816) 271-1350
(816) 271-1355
Mailing address
711 N 36TH ST, SAINT JOSEPH, MO 64506-2977
(816) 271-4022
(816) 271-4020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
110143
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248268435
—
MO
05
—
30004162190003
—
KS
Enumeration date
07/13/2005
Last updated
04/06/2026
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