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Individual
KONSTANTIN DAMIANOV BUKOV
Active
Individual
KONSTANTIN DAMIANOV BUKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036121911
IL
207Q00000X
Family Medicine Physician
53145-020
WI
207Q00000X
Family Medicine Physician
Primary
A116876
CA
Other
Enumeration date
09/03/2008
Last updated
09/09/2013
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