DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMUEL CHARLES EVANS, M.D.

Active Sole Proprietor

DR. SAMUEL CHARLES EVANS, M.D. is a Adolescent Medicine healthcare provider located in WEST PLAINS, Missouri. NPI 1407197684 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · WEST PLAINS, MO

Registration Details

NPI Number
1407197684
Provider Type
Individual
Gender
Male
NPI Issued
Mar 12, 2013 (13.446443632301 yrs)
Last Updated
Sep 30, 2020
Licenses
C-8117 (AR)
2020012799 (MO)
Sole Proprietor
Yes

Practice Information

Address
181 N KENTUCKY AVE STE 100
WEST PLAINS, MO, 657752092
Browse MO providers · Browse ZIP 65775
Phone
4172575911
Fax
4172575913
Primary Specialty
Adolescent Medicine
207QA0505X
Additional Specialty
Adolescent Medicine

Other Adolescent Medicine Providers in WEST PLAINS, MO

Name Credential NPI
DR. THOMAS HENRY BENTON M.D. 1174620819
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.