Individual
DR. IVAN DALE MCLAWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
200 E LONE PINE ST, PAYSON, AZ 85541-5519
(928) 474-9242
(928) 474-9241
Mailing address
PO BOX 603, PAYSON, AZ 85547-0603
(928) 474-9242
(928) 474-9241
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0252
AZ
Other
Enumeration date
11/01/2006
Last updated
12/10/2007
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