RONALD RUSSELL EVANS DC

WAGNER CHIROPRACTIC CLINIC PC

Dr RONALD RUSSELL EVANS DC is a male medical professional, specializing in Chiropractic. He graduated in 1978 from Palmer College Chiropractic - Davenport.

Contact

WAGNER CHIROPRACTIC CLINIC PC

2639 S 159TH PLZ
WEST OMAHA CHIROPRACTIC AND SPORTS INC
OMAHA
NE
681301705

Tel: 4023344700

RONALD RUSSELL EVANS DC Information

Npi 1790729804
Pac Id 8426021171
Professional Enrollment Id I20040819000631
Last Name EVANS
First Name RONALD
Middle Name RUSSELL
Suffix
Gender M
Credential DC
Medical School Name PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year 1978
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WAGNER CHIROPRACTIC CLINIC PC
Group Practice Pac Id 2264484047
Number Of Group Practice Members 3
Line 1 Street Address 2639 S 159TH PLZ
Line 2 Street Address WEST OMAHA CHIROPRACTIC AND SPORTS INC
Marker Of Address Line 2 Suppression
City OMAHA
State NE
Zip Code 681301705
Phone Number 4023344700
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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