Most Relevant Information
Provider Data
| NPI Number: | 1003019654 |
| Provider Name: | EVAN SIRC MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2007 |
| Last Updated: | 10/16/2013 |
Provider Practice Location
1661 SOQUEL DR STE G
SANTA CRUZ
CA
950651709
Practice Location Phone/Fax
| Phone: | 8314767711 |
| Fax: |
Provider Mailing Location
1661 SOQUEL DR STE G
SANTA CRUZ
CA
950651709
Provider Mailing Phone/Fax
| Phone: | 9492638620 |
| Fax: | 8004097005 |