Most Relevant Information
Provider Data
| NPI Number: | 1003072604 |
| Provider Name: | J.RICHARD LEE EVANSON D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207X00000X |
| Specialty: | Orthopaedic Surgery |
| License Number: | 63653 |
Most Important Dates
| Enumeration Date: | 08/03/2008 |
| Last Updated: | 05/21/2013 |
Provider Practice Location
300 W HOSPITAL ROAD, ROOM 11C17 ATTN: OFFICE OF GME
EISENHOWER ARMY MEDICAL CENTER
FORT GORDON
GA
309055650
Practice Location Phone/Fax
| Phone: | 7067874657 |
| Fax: | 7067871745 |
Provider Mailing Location
300 W HOSPITAL ROAD, ROOM 11C17
EISENHOWER ARMY MEDICAL CENTER
FORT GORDON
GA
309055650
Provider Mailing Phone/Fax
| Phone: | 7067874657 |
| Fax: | 7067871745 |
Suggested EMR
Orthopedic EMR