Larry A Evans MD

NPI 1083682439 - Dermatology - 207N00000X

NPI Details
NPI 1083682439
Gender Male
Enumeration Date 03/10/2006
Last Updated 05/18/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
79 TURNPIKE AVE
PORTSMOUTH RI, 02871-1419, US
Phone (401) 683-7434
Fax (401) 683-0482
Business Location
275 BROADWAY UNIT 2
NEWPORT RI, 02840-2612, US
Phone (401) 845-1473
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Rhode Island
License Number CMD12909
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According to our database, Larry A Evans MD NPI is 1083682439, taxonomy code is 207N00000X and license number is CMD12909, license state is located at Rhode Island. Larry A Evans MD physically located at 79 Turnpike Ave, Portsmouth RI, 02871-1419. NPI Number Larry A Evans MD has the Individual type.

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1083682439 NPI number is provided on an as is basis without warranty of any kind. 1083682439 is maintained by the National Plan & Provider Enumeration System. The contents of Larry A Evans MD are for informational purposes only.