Individual
DR. PERICLES IOANNIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 MONO WAY, SONORA, CA 95370-5229
(209) 536-6915
Mailing address
900 MONO WAY, SONORA, CA 95370-5229
(209) 536-6915
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A154867
CA
Other
Enumeration date
03/29/2016
Last updated
06/03/2022
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