Provider Demographics
NPI:1639158355
Name:EVANS, FRANK J (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:EVANS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1921 W 6TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-4204
Mailing Address - Country:US
Mailing Address - Phone:405-533-2433
Mailing Address - Fax:405-533-2434
Practice Address - Street 1:1921 W 6TH AVE STE A
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4204
Practice Address - Country:US
Practice Address - Phone:405-533-2433
Practice Address - Fax:336-231-8208
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2023-09-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK3259207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100136900BMedicaid
OKG11103Medicare UPIN