MARK A EVANS, PA-C, General Practice GRANITE, OK

Contact Information

MARK A EVANS, PA-C

417 N MAIN
GRANITE, OK 73547

Phone: 580-872-4362
Fax: 877-785-6691
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MARK A EVANS · (Male)

NPI Number	`1205928983`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	09/29/2006
Last updated	08/22/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	OK License # 802 OK License # OK802 OK Medicaid 100054690A OK Medicaid 100699750C
Hospital affiliation(s)	ELKVIEW GENERAL HOSPITAL - (Acute Care) 429 WEST ELM STREET HOBART, OK 73651 QUARTZ MOUNTAIN MEDICAL CENTER - (Critical Access) ONE WICKERSHAM DRIVE MANGUM, OK 73554

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MARK A EVANS, PA-C – NPI #1205928983General Practice

Contact Information

Specialty

General Practice

Physician Assistant

NPI Profile & details for MARK A EVANS · (Male)

Reviews for MARK A EVANS

MARK A EVANS, PA-C – NPI #1205928983
General Practice