Individual
DR. IRA L KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1150 W 24TH ST, SUITE D, YUMA, AZ 85364
(928) 726-7772
(928) 726-7742
Mailing address
1047 S BARDEAUX AVE, YUMA, AZ 85364
(928) 726-7772
(928) 726-7742
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0402
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330118
—
AZ
01
—
AZ0195100
BLUE CROSS BLUE SHIELD
—
01
—
P00084758
RAILROAD
—
Enumeration date
11/15/2006
Last updated
10/19/2007
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