Provider Demographics
NPI:1649413949
Name:EVANS, RICHARD TIMOTHY (BSCCT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:TIMOTHY
Last Name:EVANS
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Gender:M
Credentials:BSCCT
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Mailing Address - Street 1:1 INNWOOD CIR
Mailing Address - Street 2:STE 102
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2447
Mailing Address - Country:US
Mailing Address - Phone:501-217-8200
Mailing Address - Fax:501-217-8201
Practice Address - Street 1:1 INNWOOD CIR
Practice Address - Street 2:STE 102
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2447
Practice Address - Country:US
Practice Address - Phone:501-217-8200
Practice Address - Fax:501-217-8201
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist Cardiovascular