Individual
ALEXANDRE GREBENCHTCHIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(716) 560-1845
Mailing address
7802 E SABINO HOLLOW CT, TUCSON, AZ 85750-7223
(716) 560-1845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4611
AZ
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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