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DR. IVAN R HARWOOD MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1992003081

Individual Registrant:
DR. IVAN R HARWOOD MD
Gender: M
Sole Proprietor

Location and contact information for practice:
14490 LYONS VALLEY RD  JAMUL, CA 91935 US
Tel: 619-669-1199  Fax: 509-461-1199

Contact information for business:
PO BOX 418  JAMUL, CA 91935-0418 US
Tel: 619-669-1199  Fax: 509-461-1199

Registration Information:
NPI: 1992003081
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAGFE019167

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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