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Individual

DR. HENRY M EVANS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4301 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-3875
(504) 284-3866
(504) 284-3869
Mailing address
4301 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-3875
(504) 284-3866
(504) 284-3869

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012410
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1133582
LA
Enumeration date
04/08/2006
Last updated
08/01/2012
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