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1215347471
KEVAN IFFRIG
BETHLEHEM, PA
NPI
1215347471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: PA MD469271)
Additional Taxonomies
208800000X Urology
(Licence: NE 30845)
Enumeration Date
2014-04-28
Last Update Date
2023-11-20
Business Address
KEVAN IFFRIG
2649 SCHOENERSVILLE RD STE 101
BETHLEHEM, PA 18017-7317
Phone number: 484-884-3600
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Mailing Address
KEVAN IFFRIG
EVANS ARMY COMMUNITY HOSPITAL 1650 COCHRANE CIR B7500
FT CARSON, CO 80913
Phone number:
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