| NPI | 1801468210 |
|---|---|
| Doing Business As | EVOLUTION HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | JEFFREY DANIEL HANNAH Owner 737-222-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208D00000X General Practice |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-12-22 |