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1992727143
CHARLES BARCLAY EVANS
POCATELLO, ID
NPI
1992727143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: ID M9008)
Enumeration Date
2006-07-24
Last Update Date
2007-07-09
Business Address
-- CHARLES BARCLAY EVANS M.D.
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201-2763
Phone number: 208-232-6616
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Mailing Address
-- CHARLES BARCLAY EVANS M.D.
PO BOX 4788
POCATELLO, ID 83205-4788
Phone number: 208-232-6616
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