IVAN LICEA TAMAYO, MD

MD

Family Medicine Physician

NPI: 1669895223Individual

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

ME 118521(FL)L3510R(AL)

Contact & Hours

Address: 4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116
Phone: (334) 613-3680

Quick Facts

NPI: 1669895223
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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