Individual
IGOR MEDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 644-3030
(619) 644-3638
Mailing address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 644-3030
(619) 644-3638
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
146970
CA
Other
Enumeration date
07/06/2011
Last updated
07/21/2022
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