Organization
TERRA NOVA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IYABO A IBOAYA MD (PHYSICIAN)
(419) 424-0815
Entity
Organization
Contact information
Practice address
655 FOX RUN RD STE E, FINDLAY, OH 45840-8401
(419) 424-0815
(419) 424-1405
Mailing address
PO BOX 525, FINDLAY, OH 45839-0525
(419) 424-0815
(419) 424-1405
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
35.92245
OH
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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