Most Relevant Information
Provider Data
NPI Number: | 1003290933 |
Provider Name: | DIRK EVANS CVRT, COMS |
Entity Type: | Individual |
Taxonomy Code: | 2255R0406X |
Specialty: | Specialist/Technologist |
License Number: |
Most Important Dates
Enumeration Date: | 07/09/2015 |
Last Updated: | 07/09/2015 |
Provider Practice Location
1 VETERANS DR
MINNEAPOLIS
MN
554172309
Practice Location Phone/Fax
Phone: | 9712632426 |
Fax: |
Provider Mailing Location
4952 ENSIGN ST
SAN DIEGO
CA
921171203
Provider Mailing Phone/Fax
Phone: | 9712632426 |
Fax: |