Individual
IGOR Z ABOLNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2280 HARRISON AVE, RUREKA, CA 95501-3305
(707) 443-9371
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 374-2367
(801) 429-8015
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
3106671205
UT
207RI0200X
Infectious Disease Physician
Primary
C145403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107007723101
IHC HEALTHPLANS
UT
01
—
440002649
PALMETTO GBA
UT
01
—
55244
PEHP
UT
01
—
589314
DMBA
UT
05
—
870281028000
—
UT
01
—
92-00030
UNITED HEALTHCARE
UT
01
—
QM0000035196
ALTIUS
UT
Enumeration date
05/03/2006
Last updated
06/26/2023
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