David G Evans OD

NPI 1063417863 - Optometrist - 152W00000X

NPI Details
NPI 1063417863
Gender Male
Enumeration Date 06/17/2005
Last Updated 02/20/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
6060 PRIMACY PKWY
STE 200
MEMPHIS TN, 38119-5770, US
Phone (901) 761-4620
Fax (907) 761-3072
Business Location
6060 PRIMACY PKWY
STE 200
MEMPHIS TN, 38119-5770, US
Phone (901) 761-4620
Fax (907) 761-3072
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number ODT1596
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According to our database, David G Evans OD NPI is 1063417863, taxonomy code is 152W00000X and license number is ODT1596, license state is located at Tennessee. David G Evans OD physically located at 6060 Primacy Pkwy, Memphis TN, 38119-5770. NPI Number David G Evans OD has the Individual type.

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1063417863 NPI number is provided on an as is basis without warranty of any kind. 1063417863 is maintained by the National Plan & Provider Enumeration System. The contents of David G Evans OD are for informational purposes only.