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Perry W Evans Jr DO PC

Family Medicine in Cleveland, OK. Organization (NPI-2).

NPI number1124331475
StatusActive
Last updated in NPPESJul 15, 2010

Details

NPI
1124331475
Entity type
Organization (NPI-2)
Legal business name
Perry W Evans Jr DO PC
Organization subpart
Yes
Enumeration date
Jul 15, 2010
Last updated
Jul 15, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

119 S Broadway St
Cleveland, OK 74020-4614

Phone 918-358-2592 · Fax 918-358-3133

Mailing address

119 S Broadway St
Cleveland, OK 74020-4614

Phone 918-358-2592 · Fax 918-358-3133

Authorized official

Perry William Evans
Owner
9183582592

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Cleveland, OK

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