Individual
ALEX OKUNEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 GREENHILL AVE, WILMINGTON, DE 19805-1851
(302) 575-9305
(302) 482-2792
Mailing address
540 GREENHILL AVE, WILMINGTON, DE 19805-1851
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
2015607403
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972987253
—
DE
Enumeration date
03/17/2016
Last updated
03/17/2016
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