Individual
MARK P EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 CLARA BARTON ST, DANSVILLE, NY 14437
(585) 335-6000
Mailing address
10213 PARKER HILL RD, RANDOLPH, NY 14772-9744
(716) 358-9729
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN356227L
PA
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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