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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN PRUDHOMME, MD

Active

IAN PRUDHOMME, MD is a Anatomic Pathology & Clinical Pathology healthcare provider located in APO, APO/FPO Americas. NPI 1780044362 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · APO, AA

Registration Details

NPI Number
1780044362
Provider Type
Individual
Gender
Male
NPI Issued
Feb 25, 2016 (10.426647855446 yrs)
Last Updated
Jan 8, 2024
License
30410 (NE)

Practice Information

Address
2200 BERGQUIST DR STE 1
WHMC/GE-2200, JBSA LACKLAND AFB, TX
APO, AA, 782365300
Browse AA providers · Browse ZIP 78236
Phone
4239432720
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in APO, AA

Name Credential NPI
DR. NENA WENDZEL D.O. 1841730264
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.