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NPI Code Detail

MEDICARE: DR. CAROL JANE EVERS M.D.

MEDICARE:  DR. CAROL JANE EVERS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianR9C37MO

General Provider Information

NPI Number : 1629077607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL JANE EVERS M.D.
Provider Business Mailing Address
First Line : 40 N FLORISSANT RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63135-2332
Country : US
Telephone Number : 314-521-1302
Fax Number :
Provider Business Practice Location Address
First Line : 40 N FLORISSANT RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63135-2332
Country : US
Telephone Number : 314-521-1302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 08/21/2012

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Directions to “ DR. CAROL JANE EVERS M.D.” Practice Location

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