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Individual

MR. DEREK GWYN EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4150 V ST STE 1200, PSSB SUITE 1200 ANESTHESIOLOGY & PAIN MEDICINE, SACRAMENTO, CA 95817-1460
(916) 734-5028
Mailing address
4150 V ST STE 1200, PSSB SUITE 1200 ANESTHESIOLOGY & PAIN MEDICINE, SACRAMENTO, CA 95817-1460
(916) 734-5028

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
276242
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000142
CA

Other

Enumeration date
02/08/2010
Last updated
01/09/2015
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