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DR. BOOKER THEODORE EVANS MD

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1093756736

Individual Registrant:
DR. BOOKER THEODORE EVANS MD
Gender: M
Sole Proprietor

Location and contact information for practice:
225 WENDELL ST SUITE B FAIR BANKS, AK 99701 US
Tel: 907-455-4140  Fax: 907-455-4119

Contact information for business:
225 WENDELL ST SUITE B FAIR BANKS, AK 99701 US
Tel: 907-455-4140  Fax: 907-455-4119

Registration Information:
NPI: 1093756736
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
AZAK4433

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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