Provider Demographics
NPI:1275117178
Name:EVOLVING HEALTHCARE PLC
Entity Type:Organization
Organization Name:EVOLVING HEALTHCARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-515-0632
Mailing Address - Street 1:1670 WILLOW CREEK RD # A182
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1112
Mailing Address - Country:US
Mailing Address - Phone:928-515-0632
Mailing Address - Fax:833-992-2104
Practice Address - Street 1:1670 WILLOW CREEK RD # A182
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1112
Practice Address - Country:US
Practice Address - Phone:928-515-0632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty