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Individual

JOHN E. INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2888 LONG BEACH BLVD, SUITE 340, LONG BEACH, CA 90806-1530
(562) 595-6891
(562) 490-7271
Mailing address
2888 LONG BEACH BLVD, SUITE 340, LONG BEACH, CA 90806-1530
(562) 595-6891
(562) 490-7271

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G24803
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ75909Z
CA
Enumeration date
08/21/2006
Last updated
03/08/2012
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