Individual provider · Type 1 NPI

Richard Bruce Evans, PA-C

Surgical Physician Assistant · Dearborn, MI

NPI number 1912043126 Active

Practice location

19401 Hubbard Drive
Dearborn, MI 48126

Call (313) 982-8475 Map

Mailing address

5554 E Dartmoor Dr
Monroe, MI 48161-5000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601001293 (MI)

Surgical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1912043126

Richard Bruce Evans, PA-C's National Provider Identifier is 1912043126, issued on Jan 29, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dearborn, MI. The record was last updated on Jul 8, 2007.