Gary Lewis Evans in Danville - Physician Assistant

Gary Lewis Evans - NPI 1770507857

Gary Lewis Evans is a Physician Assistant in Danville, Illinois. Gary Lewis Evans practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gary Lewis Evans is 1770507857. The last update date is 2023-03-07.

Gary Lewis Evans's current location address is 311 West Fairchild Street, Danville, Illinois. You can contact this provider via phone number 2174317650. The mailing address for Gary Lewis Evans is 311 West Fairchild Street, Danville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Lewis Evans
Address 311 West Fairchild Street, Danville, Illinois
Phone Number 2174317650
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1770507857
Provider Enumeration Date 2006-07-26
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 311 West Fairchild Street
City Danville
State Illinois (IL)
Post Code 61832
Phone Number 2174317650
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85003219
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
533210001 DMERC

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FAQs about Gary Lewis Evans

What is the Gary Lewis Evans's 1770507857?

The Gary Lewis Evans's NPI (National Provider Identifier) Number is 1770507857. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Gary Lewis Evans's physical address?

The Gary Lewis Evans is physically located at 311 West Fairchild Street, in the city of Danville, IL, with the postal code 61832.

What is the area of specialization for Gary Lewis Evans, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gary Lewis Evans is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

When did the Gary Lewis Evans receive its 1770507857?

The Gary Lewis Evans was issued its 1770507857 on 2006-07-26, which is the date when the organization was assigned this unique identifier.

As of what date were the Gary Lewis Evans's details last updated?

The information pertaining to the Gary Lewis Evans, including its address, specialty, and other details, was most recently updated on 2023-03-07.

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