Individual
JOHN D. INGRAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2016 1ST AVE S, DENISON, IA 51442-2210
(712) 263-3388
(712) 263-1777
Mailing address
100 MEDICAL PKWY, STE A, DENISON, IA 51442-2614
(712) 263-3388
(712) 263-1777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29356
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3086918
—
IA
Enumeration date
08/12/2005
Last updated
06/23/2016
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