Individual
EGOR PAKHOMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5617 COTTONTAIL DR, LONGMONT, CO 80503-9529
(510) 766-4362
Mailing address
5617 COTTONTAIL DR, LONGMONT, CO 80503-9529
(510) 766-4362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0938471
CO
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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