| Doctor Name: | DR. PETER ABRAHAM EVANS |
| NPI Number: | 1467505479 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | SC003891L |
| Business Practice Address: | 23 E Independence St Shamokin, PA - 178726803 |
| Business Phone Number: | 5706488531 |
| Business Fax Number: | |
| Mailing Address: | 23 E Independence St, SHAMOKIN |
| State: | PA |
| Postal Code: | 178726803 |
| Phone Number: | 5706488531 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2007 |
| NPI Last Update Date: | 06/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC003891L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |