Individual
DR. SERGEI BORISOVICH IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
62 W 7TH AVE STE 320, SPOKANE, WA 99204-2321
(509) 381-6505
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61120400
WA
Other
Enumeration date
06/11/2015
Last updated
11/28/2023
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