Charise Leanne Ivy M.D.

NPI 1871668293 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1871668293
Gender Female
Enumeration Date 11/21/2006
Last Updated 05/19/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
1500 E CHEVY CHASE DR STE 401
GLENDALE ADVENTIST MEDICAL CENTER SPINE INSTITUTE
GLENDALE CA, 91206-4153, US
Phone (818) 863-4451
Fax (818) 863-4984
Business Location
PO BOX 1237
SIERRA MADRE CA, 91025-4237, US
Phone (626) 808-5352
Fax (626) 797-3864
Toxanomy
Taxonomy Code 208100000X
License State Massachusetts
License Number 242320
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According to our database, Dr. Charise Leanne Ivy M.D. NPI is 1871668293, taxonomy code is 208100000X and license number is 242320, license state is located at Massachusetts. Charise Leanne Ivy M.D. physically located at 1500 E Chevy Chase Dr Ste 401, Glendale CA, 91206-4153. NPI Number Charise Leanne Ivy M.D. has the Individual type.

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1871668293 NPI number is provided on an as is basis without warranty of any kind. 1871668293 is maintained by the National Plan & Provider Enumeration System. The contents of Charise Leanne Ivy M.D. are for informational purposes only.