Individual
DR. JOHN C EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1520 MARTIN ST, STATE COLLEGE, PA 16803-3058
(814) 231-1220
(814) 231-1222
Mailing address
1520 MARTIN ST, STATE COLLEGE, PA 16803-3058
(814) 231-1220
(814) 231-1222
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
KO000011L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009466710001
—
PA
Enumeration date
07/14/2006
Last updated
08/14/2007
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