Individual
DR. IRA R BYOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DARTMOUTH-HITCHCOCK MEDICAL CENTER, LEBANON, NH 03756-1000
(603) 650-5402
(603) 650-8699
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12193
NH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
12193
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010315
—
VT
05
—
30204087
—
NH
Enumeration date
07/31/2006
Last updated
07/22/2011
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