Individual
IAN BOVIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD60213672
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
TRN10061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281675
L&I
WA
05
—
1265518351
—
WA
01
—
315469
L&I POST 7/21/13
WA
Enumeration date
10/31/2006
Last updated
01/15/2014
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