Individual
IAN R LIVINGSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 S CANDY LN STE 107, COTTONWOOD, AZ 86326-4158
(928) 639-2251
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
33029
AZ
2084N0400X
Neurology Physician
Primary
33029
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892126
—
AZ
Enumeration date
10/02/2006
Last updated
10/06/2023
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