Provider Demographics
NPI:1114144649
Name:EVENS, ALEXANDER RONALD (DO)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:RONALD
Last Name:EVENS
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Gender:M
Credentials:DO
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Mailing Address - Street 1:220 STANDIFORD AVE
Mailing Address - Street 2:STE F
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-1159
Mailing Address - Country:US
Mailing Address - Phone:209-579-5628
Mailing Address - Fax:209-579-5637
Practice Address - Street 1:1199 DELBON AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2006
Practice Address - Country:US
Practice Address - Phone:209-656-0183
Practice Address - Fax:209-656-0199
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2010-06-14
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Provider Licenses
StateLicense IDTaxonomies
CA20A9461207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine