Ian Beaudoin Ross M.D.

NPI 1003853730 - Neurological Surgery - 207T00000X

NPI Details
NPI 1003853730
Gender Male
Enumeration Date 06/01/2006
Last Updated 12/12/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
630 S RAYMOND AVE
SUITE 330
PASADENA CA, 91105-3278, US
Phone (626) 793-8194
Fax (626) 793-3664
Business Location
630 S RAYMOND AVE
SUITE 330
PASADENA CA, 91105-3278, US
Phone (626) 793-8194
Fax (626) 793-3664
Toxanomy
Taxonomy Code 207T00000X
License State California
License Number G87566
Remove 1003853730 NPI Number
 

According to our database, Dr. Ian Beaudoin Ross M.D. NPI is 1003853730, taxonomy code is 207T00000X and license number is G87566, license state is located at California. Ian Beaudoin Ross M.D. physically located at 630 S Raymond Ave, Pasadena CA, 91105-3278. NPI Number Ian Beaudoin Ross M.D. has the Individual type.

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1003853730 NPI number is provided on an as is basis without warranty of any kind. 1003853730 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Beaudoin Ross M.D. are for informational purposes only.