Ian Prudhomme, MD - Pathology in Apo, AA

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Ian Prudhomme, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Apo, Armed Forces Americas. Ian Prudhomme is licensed to practice in Nebraska (license number 30410) and his current practice location is 2200 Bergquist Dr Ste 1, Whmc/ge-2200, Jbsa Lackland Afb, Tx, Apo, Armed Forces Americas. He can be reached at his office (for appointments etc.) via phone at (423) 943-2720.

NPI number for Ian Prudhomme is 1780044362 and his current mailing address is 2200 Bergquist Dr Ste 1, Whmc/ge-2200, Jbsa Lackland Afb, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780044362.

Contact Information

Ian Prudhomme, MD
2200 Bergquist Dr Ste 1, Whmc/ge-2200, Jbsa Lackland Afb, Tx,
Apo, AA 78236-5300
(423) 943-2720
Not Available

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Physician's Profile

Full NameIan Prudhomme
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location2200 Bergquist Dr Ste 1, Apo, Armed Forces Americas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780044362
  • Provider Enumeration Date: 02/25/2016
  • Last Update Date: 01/08/2024

Medical Identifiers

Medical identifiers for Ian Prudhomme such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780044362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 30410 (Nebraska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ian Prudhomme is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ian Prudhomme, MD
2200 Bergquist Dr Ste 1, Whmc/ge-2200,
Jbsa Lackland Afb, TX 78236-5300

Ph: () -		Ian Prudhomme, MD
2200 Bergquist Dr Ste 1, Whmc/ge-2200, Jbsa Lackland Afb, Tx,
Apo, AA 78236-5300

Ph: (423) 943-2720

Reviews and Comments


Pathology Doctors in Apo, AA


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