Ivan Ayala's National Provider Identifier (NPI) Details
Ivan Ayala,
NPI: 1629476973
Enumeration Date: 2014-12-17
Last updated: 2017-04-07
Sole Proprietor: YES
Status: active
Postal Address: 2450 RIVERSIDE AVE, UMMC F196, MINNEAPOLIS, MN
Phone:
Primary Practice Address: 2450 RIVERSIDE AVE, UMMC F196, MINNEAPOLIS, MN
Practice's phone: 952-892-9536