| Perry W Evans Jr Do Pc | |
|
119 S Broadway St Cleveland OK 74020-4614 | |
| (918) 358-2592 | |
| (918) 358-3133 |
| Full Name | Perry W Evans Jr Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 119 S Broadway St, Cleveland, Oklahoma |
| Authorized Official Name and Position | Perry William Evans (OWNER) |
| Authorized Official Contact | 9183582592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry W Evans Jr Do Pc 119 S Broadway St Cleveland OK 74020-4614 Ph: (918) 358-2592 | Perry W Evans Jr Do Pc 119 S Broadway St Cleveland OK 74020-4614 Ph: (918) 358-2592 |
| NPI Number | 1124331475 |
|---|---|
| Provider Enumeration Date | 07/15/2010 |
| Last Update Date | 07/15/2010 |
| Medicare PECOS PAC ID | 5890828982 |
|---|---|
| Medicare Enrollment ID | O20100726000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124331475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Perry William Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942281688 PECOS PAC ID: 6709919897 Enrollment ID: I20100726000631 |
Osu-aj Osu Medicine Cleveland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S Broadway St, Cleveland, OK 74020 Phone: 918-561-8306 Fax: 918-561-5747 | |
Lake Area Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W Pawnee St, Cleveland, OK 74020 Phone: 918-358-3588 | |
Trt Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Delaware St, Cleveland, OK 74020 Phone: 918-358-0028 | |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Pawnee St, Cleveland, OK 74020 Phone: 918-561-8306 Fax: 918-280-1917 | |
Lake Area Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 W Pawnee St, Cleveland, OK 74020 Phone: 918-358-3588 Fax: 918-358-9274 | |
Robert Boyles, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1390 W Cherokee St, Cleveland, OK 74020 Phone: 918-358-3501 Fax: 918-358-5402 |