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OrganizationMedicare enrolled

Evergreen Clinic PLLC

Doing business as Prairie Care

Orthopaedic Surgery · Philadelphia, PA

Source: NPPES NPI RegistryFetched 2026-10-20

Public record

NPI
1000000523
Enumeration date
2018-01-27
Last updated
2026-04-27
Practice location
272 Main St
Philadelphia, PA 19103
Mailing address
PO Box 1276
Philadelphia, PA 19103
Taxonomies
Medicare
Enrolled