Ivan S Guevara MD

NPI 1093815904 - Pediatrics - 208000000X

NPI Details
NPI 1093815904
Gender Male
Enumeration Date 09/22/2006
Last Updated 07/27/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
320 WEST 10TH AVENUE
SUITE 100
KENNEWICK WA, 99336, US
Phone (509) 586-5162
Fax (509) 526-5163
Business Location
320 WEST 10TH AVENUE
SUITE 100
KENNEWICK WA, 99336, US
Phone (509) 586-5162
Fax (509) 526-5163
Toxanomy
Taxonomy Code 208000000X
License State Washington
License Number MD00040635
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According to our database, Dr. Ivan S Guevara MD NPI is 1093815904, taxonomy code is 208000000X and license number is MD00040635, license state is located at Washington. Ivan S Guevara MD physically located at 320 West 10th Avenue, Kennewick WA, 99336. NPI Number Ivan S Guevara MD has the Individual type.

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1093815904 NPI number is provided on an as is basis without warranty of any kind. 1093815904 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan S Guevara MD are for informational purposes only.