Gregory T Evans
Foot & Ankle Surgery
908 Wyoming Ave Ste C
Wyoming
, Pennsylvania 18644-1300
Gregory T Evans
Foot & Ankle Surgery
908 Wyoming Ave Ste C
Wyoming
, Pennsylvania 18644-1300
(570) 963-0534
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Gregory T Evans
- 908 Wyoming Ave Ste C
- Wyoming, PA
- Zip : 18644-1300
- Fax : (570) 963-0534
- Phone : (570) 963-0535
Second Address
- Gregory T Evans
- 908 Wyoming Ave Ste C
- Wyoming, PA
- Zip : 18644-1300
- Fax : (570) 963-0534
- Phone : (570) 963-0535
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | SC003363L | PA |
National Provider Identifier
| NPI | 1093833170 |
|---|---|
| Provider Name | Gregory T Evans |
| First Address | Wyoming, PA 18644-1300 |
| Second Address | Wyoming, PA 18644-1300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2007 |
| Last Update Date | 26/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001260793005 | (05) | PA |
| 232939043 | TAX ID (01) | PA |
| U01401 | (02) | PA |
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.