Individual
DR. VLADIM BOBROVNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1140 CARTHAGE ST, SANFORD, NC 27330-4161
(919) 775-2304
Mailing address
7535 CARPENTER FIRE STATION RD, STE 105, CARY, NC 27519-8969
(919) 775-2304
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2019-01942
NC
207V00000X
Obstetrics & Gynecology Physician
57418
TN
207V00000X
Obstetrics & Gynecology Physician
79822
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2014
Last updated
12/22/2022
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