Individual
PAVEL MOURACHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3917 WEST RD, STE 137, LOS ALAMOS, NM 87544
(505) 661-8500
(505) 661-0096
Mailing address
3917 WEST RD, STE 137, LOS ALAMOS, NM 87544
(505) 661-8500
(505) 661-0096
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD071992L
PA
208800000X
Urology Physician
Primary
MD2008-0654
NM
Other
Enumeration date
09/20/2006
Last updated
08/11/2011
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