Edward Theodore Evans in Santa Rosa - Diagnostic Radiology
Edward Theodore Evans - NPI 1144319039
Edward Theodore Evans is a Diagnostic Radiology in Santa Rosa, California. Edward Theodore Evans practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Edward Theodore Evans is 1144319039. The last update date is 2007-07-09.
Edward Theodore Evans's current location address is 121 Sotoyome St, Santa Rosa, California. You can contact this provider via phone number 7075464062 and fax number 7075786258. The mailing address for Edward Theodore Evans is 121 Sotoyome St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Theodore Evans |
|---|---|
| Address | 121 Sotoyome St, Santa Rosa, California |
| Phone Number | 7075464062 |
| Fax Number | 7075786258 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144319039 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 121 Sotoyome St |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054823 |
| Phone Number | 7075464062 |
| Fax Number | 7075786258 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | A22103 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A221030 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edward Theodore Evans by the Centers for Medicare & Medicaid Services?
The Edward Theodore Evans has been assigned the NPI (National Provider Identifier) 1144319039. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edward Theodore Evans located?
The Edward Theodore Evans is located at 121 Sotoyome St, Santa Rosa, CA 954054823.
What is Edward Theodore Evans's area of expertise and its corresponding taxonomy classification?
The Edward Theodore Evans's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date did the Edward Theodore Evans receive its 1144319039 assignment from the Centers for Medicare & Medicaid Services?
The Edward Theodore Evans was assigned its 1144319039 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the Edward Theodore Evans's information last updated?
The Edward Theodore Evans's information was last updated on 2007-07-09.