George V Evanoff
Nephrologist
2771 Hemlock St Suite 201
Bremerton
, Washington 98310-2689
George V Evanoff
Nephrologist
2771 Hemlock St Suite 201
Bremerton
, Washington 98310-2689
(360) 479-6157
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- George V Evanoff
- 2771 Hemlock St Suite 201
- Bremerton, WA
- Zip : 98310-2689
- Fax : (360) 479-6157
- Phone : (360) 377-7634
Second Address
- George V Evanoff
- 2771 Hemlock St Suite 201
- Bremerton, WA
- Zip : 98310-2689
- Fax : (360) 479-6157
- Phone : (360) 377-7634
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | MD00031897 | WA |
National Provider Identifier
| NPI | 1043206972 |
|---|---|
| Provider Name | George V Evanoff |
| First Address | Bremerton, WA 98310-2689 |
| Second Address | Bremerton, WA 98310-2689 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2005 |
| Last Update Date | 31/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1043206972 | NPI (01) | |
| 1088566 | (05) | WA |
| C15522 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.