Ivan Pivovarov, MD

NPI #1467662148 in Madison, Alabama

Provider Information

NPI Number: 1467662148
Entity Type: Individual
Name: Ivan Pivovarov, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 23, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 279 HUGHES RD
City: Madison
State: Alabama
ZIP Code: 35758-1142
Phone: (256) 289-1733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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