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DR. BOOKER THEODORE EVANS MD
Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1093756736
Individual Registrant:DR. BOOKER THEODORE EVANS MD
Gender: M
Sole Proprietor
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
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
Tel: 907-455-4140 Fax: 907-455-4119
Registration Information:
NPI: 1093756736
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry | AZ | AK4433 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
