Individual
MICHAEL BORUKHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6555 E PRENTICE AVE, GREENWOOD VILLAGE, CO 80111-1642
(720) 324-3273
Mailing address
6555 E PRENTICE AVE, GREENWOOD VILLAGE, CO 80111-1642
(720) 324-3273
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
OL-19-04575
CO
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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