THOMAS RUSSELL EVANS

MEDFORD, OR
NPI1568757086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: OR  DO201198)
Additional Taxonomies286500000X Military Hospital
Enumeration Date2011-06-13
Last Update Date2021-09-21
Business Address
Dr. THOMAS RUSSELL EVANS DO
2959 SISKIYOU BLVD STE B
MEDFORD, OR 97504-8131
Phone number: 541-773-3636
Mailing Address
Dr. THOMAS RUSSELL EVANS DO
2959 SISKIYOU BLVD STE B
MEDFORD, OR 97504-8131
Phone number: 541-773-3636
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