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Individual

ALEXEJ BARG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9288037-1252
UT
207XX0801X
Orthopaedic Trauma Physician
1234567-1205
UT

Other

Enumeration date
01/05/2015
Last updated
09/22/2017
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