Provider Demographics
NPI:1427000942
Name:EVERS, ROBERT N (ATC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:N
Last Name:EVERS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:9032 SUNNY BROOK ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2111
Mailing Address - Country:US
Mailing Address - Phone:505-823-2405
Mailing Address - Fax:
Practice Address - Street 1:7801 CANDELARIA RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3757
Practice Address - Country:US
Practice Address - Phone:505-294-1511
Practice Address - Fax:505-291-6878
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0172255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer