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Individual

DR. VYACHESLAV MAKAROV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRIT AVE STOP A, FORT BRAGG, NC 28310-4845
(910) 907-8666
Mailing address
2817 ROCK MERRIT AVE STOP A, FORT BRAGG, NC 28310-0001
(917) 324-0919

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3522
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007138400
FL
Enumeration date
06/18/2008
Last updated
04/30/2025
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