Ivan Graciano, Surgical Assistant
Specialist/Technologist, Other, Surgical Assistant in Yuma, AZ. Individual provider (NPI-1).
NPI number1013418342
StatusActive
Last updated in NPPESFeb 22, 2018
Details
- NPI
- 1013418342
- Entity type
- Individual (NPI-1)
- Name
- Ivan Graciano
- Credential
- Surgical Assistant
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2018
- Last updated
- Feb 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | R16-0201A | AZ | Yes |
Practice location
2911 S 8th AveYuma, AZ 85364-8000
Phone 928-783-3050 · Fax 928-783-3050
Mailing address
2911 S 8th AveYuma, AZ 85364-8000
Phone 928-783-3050 · Fax 928-783-3050
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