person
Ignat Ivanov Ignatov, CSA
Surgical Physician Assistant in Surprise, Arizona
NPI 1366786204

Ignat Ivanov Ignatov is a Surgical Physician Assistant based in Surprise, AZ and is specialized in Surgical. Ignat Ivanov Ignatov practices in Surprise, AZ and has the professional credentials of CSA. The NPI Number for Ignat Ivanov Ignatov is 1366786204 and holds a License No. 4024 (Arizona).

The current practice location address for Ignat Ivanov Ignatov is 13832 W Gelding Dr, Surprise, AZ and can be reached out via phone at 602-451-7496.

Location: 13832 W Gelding Dr, Surprise, AZ, 85379-8352
person
Provider Profile Details
NPI Number
1366786204
Provider Name
Ignat Ivanov Ignatov
Credential
CSA
Provider Entity Type
Individual
Gender
Male
Address
13832 W Gelding Dr, Surprise, AZ, 85379-8352
Phone Number
602-451-7496
Fax Number
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13832 W Gelding Dr
City
State
Zip
85379-8352
Phone Number
602-451-7496
Fax Number
person
Provider Business Mailing Address Details
Address
13832 W Gelding Dr
City
State
Zip
85379-8352
Phone Number
602-451-7496
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
4024 (Arizona)
Definition
Definition to come...
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