Individual
ALEXANDER SELIVANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3510 E TROPICANA AVE STE M, LAS VEGAS, NV 89121-7341
(702) 436-1717
(702) 438-1718
Mailing address
3510 E TROPICANA AVE STE M, LAS VEGAS, NV 89121-7341
(702) 436-1717
(702) 438-1718
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2000143.424
NV
Other
Enumeration date
10/02/2007
Last updated
05/29/2008
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