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1891139994
IAN MARTIN SHIVACK
TUCSON, AZ
NPI
1891139994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AZ 24360)
Enumeration Date
2013-04-19
Last Update Date
2013-04-19
Business Address
Dr. IAN MARTIN SHIVACK M.D.
4250 N CAMINO ARCO
TUCSON, AZ 85718-7015
Phone number: 520-529-3940
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Mailing Address
Dr. IAN MARTIN SHIVACK M.D.
4250 N CAMINO ARCO
TUCSON, AZ 85718-7015
Phone number: 520-529-3940
Copy
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