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Individual

DR. ALEXANDER V SHYDOHUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(505) 887-4100
Mailing address
1511 MOUNTAIN SHADOW DR, CARLSBAD, NM 88220-4156
(505) 628-8045

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
82309
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31914
NM
Enumeration date
04/17/2006
Last updated
07/08/2007
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