IVAN PIVOVAROV

MADISON, AL
NPI1467662148
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  29030)
Enumeration Date2007-05-23
Last Update Date2022-07-21
Business Address
IVAN PIVOVAROV MD
279 HUGHES RD
MADISON, AL 35758-1142
Phone number: 256-289-1733
Mailing Address
IVAN PIVOVAROV MD
279 HUGHES RD
MADISON, AL 35758-1142
Phone number: 256-325-0480
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