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Ivan Cruse, MD
Student in an Organized Health Care Education/Training Program in Grandview, Washington
NPI 1013769553

Ivan Cruse is a Student in an Organized Health Care Education/Training Program based in Victorville, WA. Ivan Cruse practices in Grandview, WA and has the professional credentials of MD. The NPI Number for Ivan Cruse is 1013769553 and holds a License No. (Washington).

The current practice location address for Ivan Cruse is 1000 Wallace Way, Grandview, WA and can be reached out via phone at 509-882-3444.

Location: 1000 Wallace Way, Grandview, WA, 92392-4817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013769553
Provider Name
Ivan Cruse
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Wallace Way, Grandview, WA, 92392-4817
Phone Number
509-882-3444
Fax Number
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1000 Wallace Way
City
Grandview
State
Washington
Zip
98930-8805
Phone Number
509-882-3444
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Wallace Way
City
Grandview
State
Washington
Zip
98930-8805
Phone Number
509-882-3444
Fax Number
person
Provider's Taxonomy Details 1
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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