Ivanka A Vassileva, MD

NPI #1295729929 in Lawton, Oklahoma

Provider Information

NPI Number: 1295729929
Entity Type: Individual
Name: Ivanka A Vassileva, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 8, 2005
Last Updated: Feb 9, 2012

Practice Location

Address: 4411 W GORE BLVD
Address 2: STE B10
City: Lawton
State: Oklahoma
ZIP Code: 73505-5977
Phone: (580) 354-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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