Individual
DR. ERNEST TODD AJAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E POLK ST, WASHINGTON, IA 52353-1237
(319) 863-2048
(319) 863-2049
Mailing address
PO BOX 909, WASHINGTON, IA 52353-0909
(319) 338-5451
(319) 338-9366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
30503
IA
2084N0400X
Neurology Physician
Primary
30503
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126268
—
IA
Enumeration date
02/23/2006
Last updated
05/05/2016
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