Individual provider · Type 1 NPI

Ivan Alexis Licea Tamayo, MD

Family Medicine Physician · Montgomery, AL

NPI number 1669895223 Active

Practice location

4371 Narrow Lane Rd
Montgomery, AL 36116-2971

Call (334) 613-3680 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XME 118521 (FL)
Family Medicine Physician Primary 207Q00000XL3510R (AL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1669895223

Ivan Alexis Licea Tamayo, MD's National Provider Identifier is 1669895223, issued on Jan 31, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Montgomery, AL. The record was last updated on Jan 31, 2014.