Julie C Ivanov, PA-C

NPI #1104898105 in Dubuque, Iowa

Provider Information

NPI Number: 1104898105
Entity Type: Individual
Name: Julie C Ivanov, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 3, 2006
Last Updated: Jan 22, 2008

Practice Location

Address: 1500 ASSOCIATES DR
Address 2: THE MEDICAL ASSOCIATES CLINIC PC
City: Dubuque
State: Iowa
ZIP Code: 52002
Phone: (563) 584-4460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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