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Individual

DAVID PETROVICH RUSEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-3000
Mailing address
PO BOX 896244, CHARLOTTE, NC 28289-6244
(866) 282-7905

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MA06250
PA
363A00000X
Physician Assistant
Primary
0010-12804
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/14/2019
Last updated
07/19/2024
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