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Individual

ICHIRO NAKANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233
(205) 934-7170
(205) 934-6507
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
F5357
CA
207T00000X
Neurological Surgery Physician
Primary
L.4206DP
AL

Other

Enumeration date
09/26/2008
Last updated
07/16/2018
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