Individual
DR. IAN MARTIN SHIVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4250 N CAMINO ARCO, TUCSON, AZ 85718-7015
(520) 529-3940
(520) 529-3940
Mailing address
4250 N CAMINO ARCO, TUCSON, AZ 85718-7015
(520) 529-3940
(520) 529-3940
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24360
AZ
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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