Individual
DR. ALEXANDER A IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 L ST STE 500, SACRAMENTO, CA 95816-5616
(916) 454-6850
(916) 454-6852
Mailing address
10470 OLD PLACERVILLE ROAD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A151118
CA
207T00000X
Neurological Surgery Physician
N/A
OH
Other
Enumeration date
06/24/2008
Last updated
09/25/2017
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