Individual
IGOR NAZAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15214 CANYON RD E, PUYALLUP, WA 98375-7472
(253) 539-4200
Mailing address
15205 NE 13TH PL, 2908, BELLEVUE, WA 98007-7509
(206) 795-4497
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
UV075151
ZZ
Other
Enumeration date
04/06/2010
Last updated
07/12/2016
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