Individual
MR. BORIS BOGUSLAVSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5656 S POWER RD STE 132, GILBERT, AZ 85295-8490
(917) 691-3131
Mailing address
5656 S POWER RD STE 132, GILBERT, AZ 85295-8490
(917) 691-3131
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306933
NY
Other
Enumeration date
09/10/2014
Last updated
02/23/2022
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