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Individual

IVAN NIKIFOROV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 248-5411
(717) 242-7581
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(717) 248-5411
(717) 242-7581

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD491042
PA

Other

Enumeration date
03/29/2021
Last updated
08/15/2025
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