Dr. Ira R Byock, M.D.
Family Medicine, Hospice and Palliative Medicine in Lebanon, NH. Individual provider (NPI-1).
NPI number1932115367
StatusActive
Last updated in NPPESJul 22, 2011
Details
- NPI
- 1932115367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ira R Byock
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Jul 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QH0002X | Family Medicine, Hospice and Palliative Medicine | 12193 | NH | Yes |
| 207Q00000X | Family Medicine | 12193 | NH |
Practice location
1 Medical Center DrDartmouth-Hitchcock Medical Center
Lebanon, NH 03756-1000
Phone 603-650-5402 · Fax 603-650-8699
Mailing address
1 Medical Center DrLebanon, NH 03756-1000
Phone 603-650-5402
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