Individual
BAR BOROHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 N CAMPBELL AVE RM 5304C, TUCSON, AZ 85724-0001
(520) 694-4000
Mailing address
1501 N CAMPBELL AVE RM 5304C, TUCSON, AZ 85724-5058
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R80178
AZ
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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