VADIM ANATOLYEVICH IVANOV

OKLAHOMA CITY, OK
NPI1346577012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: OK  27513)
Enumeration Date2009-11-17
Last Update Date2011-01-26
Business Address
-- VADIM ANATOLYEVICH IVANOV MD
1200 EVERETT DR 7FNP
OKLAHOMA CITY, OK 73104-5047
Phone number: 405-271-5215
Mailing Address
-- VADIM ANATOLYEVICH IVANOV MD
1200 EVERETT DR 7FNP
OKLAHOMA CITY, OK 73104-5047
Phone number: 405-271-5215
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