Jacob Evans DO

NPI 1679772693 - Family Medicine - 207Q00000X

NPI Details
NPI 1679772693
Gender Male
Enumeration Date 07/11/2007
Last Updated 03/22/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
16-192 PILI MUA ST
KEAAU HI, 96749-8134, US
Phone (808) 930-0400
Fax
Business Location
224 HAILI ST
SUITE B
HILO HI, 96720-2975, US
Phone (415) 215-2970
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number 20A9697
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According to our database, Dr. Jacob Evans DO NPI is 1679772693, taxonomy code is 207Q00000X and license number is 20A9697, license state is located at California. Jacob Evans DO physically located at 16-192 Pili Mua St, Keaau HI, 96749-8134. NPI Number Jacob Evans DO has the Individual type.

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1679772693 NPI number is provided on an as is basis without warranty of any kind. 1679772693 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Evans DO are for informational purposes only.