Search › Arizona › 1223P0300X
Manuel Iravedra, D.M.D., B.S.PH
NPI 1801941422 · on the registry since 2007 · sole proprietor
Practice
- Address
- Po Box Ph
Chinle, AZ 86503 - Phone
- (928) 674-7001
- Clinicians at this address
- 24
Additional practice sites
- 1814 Calle Glasgow, San Juan, PR
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Also registered as
- 183500000X
- Licence states on file
- PR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-09
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 Arizona