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Ivan Alexis Licea Tamayo, MD
Family Medicine Physician in Montgomery, Alabama
NPI 1669895223

Ivan Alexis Licea Tamayo is a Family Medicine Physician based in Montgomery, AL. Ivan Alexis Licea Tamayo practices in Montgomery, AL and has the professional credentials of MD. The NPI Number for Ivan Alexis Licea Tamayo is 1669895223 and holds a License No. ME 118521 (Alabama).

The current practice location address for Ivan Alexis Licea Tamayo is 4371 Narrow Lane Rd, Montgomery, AL and can be reached out via phone at 334-613-3680.

Location: 4371 Narrow Lane Rd, Montgomery, AL, 36116-2971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669895223
Provider Name
Ivan Alexis Licea Tamayo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4371 Narrow Lane Rd, Montgomery, AL, 36116-2971
Phone Number
334-613-3680
Fax Number
Provider Enumeration Date
01/31/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4371 Narrow Lane Rd
City
Montgomery
State
Alabama
Zip
36116-2971
Phone Number
334-613-3680
Fax Number
person
Provider Business Mailing Address Details
Address
4371 Narrow Lane Rd
City
Montgomery
State
Alabama
Zip
36116-2971
Phone Number
334-613-3680
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME 118521 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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