Individual
DR. IAN MITCHELL AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(267) 858-7248
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 858-7248
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT023537
PA
Other
Enumeration date
05/16/2024
Last updated
05/31/2024
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