Ivan Kai Makiyama, DO

NPI #1013768753 in Mccomb, Mississippi

Provider Information

NPI Number: 1013768753
Entity Type: Individual
Name: Ivan Kai Makiyama, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DO
Enumeration Date: Apr 1, 2024
Last Updated: Apr 1, 2024

Practice Location

Address: 215 MARION AVE
City: Mccomb
State: Mississippi
ZIP Code: 39648-2705
Phone: (601) 249-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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