Individual
ALEKSANDR A REZNICHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 W HAGUE RD STE 170, EL PASO, TX 79902-5811
(915) 271-4596
(915) 271-4597
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5506
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
242179-1
NY
208600000X
Surgery Physician
35125461
OH
208600000X
Surgery Physician
A100964
CA
208600000X
Surgery Physician
Primary
M4472
TX
Other
Enumeration date
04/02/2007
Last updated
11/26/2018
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