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Search › Alabama › Family Medicine Physician

Ivan Licea Tamayo, MD

NPI 1669895223 · on the registry since 2014

Practice

Address
4371 Narrow Lane Rd
Montgomery, AL 36116
Phone
(334) 613-3680
Organisation at this address
The University Of Alabama At Birmingham
Montgomery Baptist Outreach Services Corporation
Hca For Baptist Health, An Affiliate Of Uab Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
70

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Also registered as
Family Medicine Physician
Licence states on file
FL, AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama