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1952353203
IVAN MCCRUM
PHOENIX, AZ
NPI
1952353203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: AZ 7708)
Enumeration Date
2006-05-16
Last Update Date
2007-07-08
Business Address
IVAN MCCRUM MD
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
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Mailing Address
IVAN MCCRUM MD
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
Copy
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