Individual
DR. IAN MARK PATIENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N ROSE ST, FLAGSTAFF, AZ 86004-3659
(928) 213-6121
(928) 213-6136
Mailing address
15211 WILDWOOD TRACE, MAGNOLIA, TX 77354-1870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01058071A
IN
207Q00000X
Family Medicine Physician
16804
AZ
207Q00000X
Family Medicine Physician
Primary
G9296
TX
Other
Enumeration date
03/09/2006
Last updated
04/11/2008
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