Individual
DR. NIKITA V. BEZRUKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 W STEWART DR STE 410, ORANGE, CA 92868-3855
(714) 538-8549
(714) 538-1547
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A111624
CA
207X00000X
Orthopaedic Surgery Physician
MD-17786
HI
Other
Enumeration date
11/13/2008
Last updated
02/01/2018
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