Ignat Ivanov Ignatov, CSA

NPI #1366786204 in Surprise, Arizona

Provider Information

NPI Number
1366786204
Entity Type
Individual
Name
Ignat Ivanov Ignatov, CSA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
CSA
Enumeration Date
Nov 15, 2012
Last Updated
Jan 4, 2023

Practice Location

Address
13832 W GELDING DR
State
Arizona
ZIP Code
85379-8352
Phone
(602) 451-7496

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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