Individual provider · Type 1 NPI
Ignat Ivanov Ignatov, CSA
Surgical Physician Assistant · Surprise, AZ
NPI number
1366786204
Active
Practice location
13832 W Gelding Dr
Surprise, AZ 85379-8352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 4024 (AZ) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Surprise
About NPI 1366786204
Ignat Ivanov Ignatov, CSA's National Provider Identifier is 1366786204, issued on Nov 15, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Surprise, AZ. The record was last updated on Jan 4, 2023.