Individual
ALEKSANDR MYACHIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
245 N 15TH ST, MS 310, PHILADELPHIA, PA 19102-1101
(215) 762-4312
(215) 762-8656
Mailing address
245 N 15TH ST, MS 310, PHILADELPHIA, PA 19102-1101
(215) 762-4312
(215) 762-8656
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN565206
PA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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