| John R Evans Md | |
|
399 E Highland Ave Suite 110 San Bernardino CA 92404-3808 | |
| (909) 886-2609 | |
| Not Available |
| Full Name | John R Evans Md |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 399 E Highland Ave, San Bernardino, California |
| Authorized Official Name and Position | John R Evans (OWNER) |
| Authorized Official Contact | 9098862609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John R Evans Md 399 E Highland Ave Suite 110 San Bernardino CA 92404-3808 Ph: (909) 886-2609 | John R Evans Md 399 E Highland Ave Suite 110 San Bernardino CA 92404-3808 Ph: (909) 886-2609 |
| NPI Number | 1043478779 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043478779 | NPI | - | NPPES |
| GR0051140 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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