IGNAT IVANOV IGNATOV

SURPRISE, AZ
NPI1366786204
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AZ  4024)
Enumeration Date2012-11-15
Last Update Date2023-01-04
Business Address
IGNAT IVANOV IGNATOV csa
13832 W GELDING DR
SURPRISE, AZ 85379-8352
Phone number: 602-451-7496
Mailing Address
IGNAT IVANOV IGNATOV csa
13832 W GELDING DR
SURPRISE, AZ 85379-8352
Phone number: 602-451-7496
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