Provider Demographics
NPI:1336242304
Name:MCEVOY, FRANCIS EARL (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:EARL
Last Name:MCEVOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 QUANDT AVE
Mailing Address - Street 2:A
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-5309
Mailing Address - Country:US
Mailing Address - Phone:479-757-2030
Mailing Address - Fax:479-750-6236
Practice Address - Street 1:708 QUANDT AVE
Practice Address - Street 2:A
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-5309
Practice Address - Country:US
Practice Address - Phone:479-757-2030
Practice Address - Fax:479-750-6236
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR19832083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR12981000000OtherQUAL CHOICE
AR115013001Medicaid
AR115013001Medicaid
D84269Medicare UPIN