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Evan Sirc, MD
Diagnostic Radiology Physician in Santa Cruz, California
NPI 1003019654

Evan Sirc is a Diagnostic Radiology Physician based in Santa Cruz, CA and is specialized in Diagnostic Radiology. Evan Sirc practices in Santa Cruz, CA and has the professional credentials of MD. The NPI Number for Evan Sirc is 1003019654 and holds a License No. (California).

The current practice location address for Evan Sirc is 1661 Soquel Dr Ste G, Santa Cruz, CA and can be reached out via phone at 831-476-7711.

Location: 1661 Soquel Dr Ste G, Santa Cruz, CA, 95065-1709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003019654
Provider Name
Evan Sirc
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1661 Soquel Dr Ste G, Santa Cruz, CA, 95065-1709
Phone Number
831-476-7711
Fax Number
Provider Enumeration Date
06/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003019654 05 CA
00A1198250 01 CA BCBS OF CA
institution
Provider Business Practice Location Address Details
Address
1661 Soquel Dr Ste G
City
Santa Cruz
State
California
Zip
95065-1709
Phone Number
831-476-7711
Fax Number
person
Provider Business Mailing Address Details
Address
1661 Soquel Dr Ste G
City
Santa Cruz
State
California
Zip
95065-1709
Phone Number
831-476-7711
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A119825 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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