Provider Demographics
NPI:1073861324
Name:SYMONS, IAN ROBERT (MBCHB)
Entity Type:Individual
Prefix:
First Name:IAN
Middle Name:ROBERT
Last Name:SYMONS
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHESHIRE MEDICAL CENTRE DARTMOUTH HITCHCOCK KEENE
Mailing Address - Street 2:580-90 COURT STREET
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431
Mailing Address - Country:US
Mailing Address - Phone:603-354-5454
Mailing Address - Fax:
Practice Address - Street 1:CHESHIRE MEDICAL CENTRE DHK
Practice Address - Street 2:580 COURT STREET
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431
Practice Address - Country:US
Practice Address - Phone:603-354-5454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042.0013266207P00000X
NH17136207P00000X
PAMT202612207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine