Charlie Edward Evans, MD
Emergency Medicine in Ukiah, CA. Individual provider (NPI-1).
NPI number1104875475
StatusActive
Last updated in NPPESMar 31, 2008
Details
- NPI
- 1104875475
- Entity type
- Individual (NPI-1)
- Name
- Charlie Edward Evans
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2006
- Last updated
- Mar 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | G51002 | CA | Yes |
| 207Q00000X | Family Medicine | G51002 | CA |
Practice location
275 Hospital DrUkiah, CA 95482-4531
Phone 707-462-7900 · Fax 707-462-7947
Mailing address
275 Hospital DrUkiah, CA 95482-4531
Phone 707-462-7900 · Fax 707-462-7947
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All 14 Emergency Medicine Physician providers in Ukiah · All 1,707 providers in Ukiah
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