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Evan Robert Locke
General Practice Physician in Travis Afb, California
NPI 1215522685

Evan Robert Locke is a General Practice Physician based in Castro Valley, CA. Evan Robert Locke practices in Travis Afb, CA. The NPI Number for Evan Robert Locke is 1215522685 and holds a License No. 35188 (California).

The current practice location address for Evan Robert Locke is 101 Bodin Cir, Travis Afb, CA and can be reached out via phone at 707-423-3000.

Location: 101 Bodin Cir, Travis Afb, CA, 94546-2267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215522685
Provider Name
Evan Robert Locke
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Bodin Cir, Travis Afb, CA, 94546-2267
Phone Number
707-423-3000
Fax Number
Provider Enumeration Date
03/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
707-423-3000
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
707-423-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
35188 (Nebraska)
Definition
Definition to come...
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