Individual
DR. IANIR DIVINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7793
Mailing address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60114775
WA
Other
Enumeration date
08/14/2007
Last updated
02/24/2015
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