Individual
ANDREW CRAIG MCIVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 S GARDEN WAY, SUITE 290, EUGENE, OR 97401-8173
(541) 345-2205
(541) 345-4480
Mailing address
360 S GARDEN WAY, SUITE 290, EUGENE, OR 97401-8173
(541) 345-2205
(541) 345-4480
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD18466
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059928
—
OR
Enumeration date
10/02/2006
Last updated
09/30/2015
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