IAN PRUDHOMME

APO, AA
NPI1780044362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NE  30410)
Enumeration Date2016-02-25
Last Update Date2024-01-08
Business Address
IAN PRUDHOMME MD
2200 BERGQUIST DR STE 1 WHMC/GE-2200, JBSA LACKLAND AFB, TX
APO, AA 78236-5300
Phone number: 423-943-2720
Mailing Address
IAN PRUDHOMME MD
2200 BERGQUIST DR STE 1 WHMC/GE-2200
JBSA LACKLAND AFB, TX 78236-5300
Phone number: