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1013952886
EVANS PEDIATRIC CLINIC PC
SAINT JOSEPH, MO
NPI
1013952886
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Entity Type
Organization
Authorized Contact
DOUGLAS EUGENE EVANS
Owner
816-351-6385
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 110143)
Enumeration Date
2006-06-17
Last Update Date
2011-11-28
Business Address
EVANS PEDIATRIC CLINIC PC
3912 SHERMAN AVE
SAINT JOSEPH, MO 64506-3648
Phone number: 816-233-5959
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Mailing Address
EVANS PEDIATRIC CLINIC PC
3912 SHERMAN AVE
SAINT JOSEPH, MO 64506-3648
Phone number: 816-233-5959
Copy
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