| Frank J Evans, D.O. PC | |
|
1921 W 6th Ave Ste A Stillwater OK 74074-4204 | |
| (405) 533-2433 | |
| (833) 623-1821 |
| Full Name | Frank J Evans, D.O. PC |
|---|---|
| Speciality | Family Medicine |
| Location | 1921 W 6th Ave Ste A, Stillwater, Oklahoma |
| Authorized Official Name and Position | Frank J Evans (PHYSICIAN) |
| Authorized Official Contact | 4055332433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank J Evans, D.O. PC 1921 W 6th Ave Ste A Stillwater OK 74074-4204 Ph: (405) 533-2433 | Frank J Evans, D.O. PC 1921 W 6th Ave Ste A Stillwater OK 74074-4204 Ph: (405) 533-2433 |
| NPI Number | 1174678809 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 8527130764 |
|---|---|
| Medicare Enrollment ID | O20080703000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174678809 | NPI | - | NPPES |
| 100136900B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3259 (Oklahoma) | Primary |
| Provider Name | Frank J Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639158355 PECOS PAC ID: 9436221660 Enrollment ID: I20080703000525 |
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