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JOHN LEE EVANS
OTHER
JOHN LEE EVANS is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1861508921. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3375668908. The primary specialty is . The organization is . The address is 15525 POMERADO RD, SUITE E 4, POWAY, CA, 920642427. The zip code is 920642427.
Nation Provider ID | 1861508921 |
---|---|
PAC ID by PECOS | 3375668908 |
Professional Enrollment ID | I20100920000141 |
Name | JOHN LEE EVANS |
Medical School Name | OTHER |
Graduation Year | 1989 |
Primary Specialty | |
All secondary specialties | |
Organization Name | |
Group Practice PAC ID | |
Number of Group Practice members | 0 |
Address | 15525 POMERADO RD, SUITE E 4, POWAY, CA, 920642427 |
Hospital affiliation LBN | |
Graduation Year | 1989 |
Contact Number | 8586739600 |
Email Address | [Show_Email_ID] |
Phone Number | [Show_Phone] |
Website | [Show_Website] |