Individual
MR. ALEKSANDR VOLK SERGOJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SO-IDC
Contact information
Practice address
8810 SOUTH ST SE, ALBUQUERQUE, NM 87117-0001
(505) 846-2761
Mailing address
2734 HYDER AVE SE, ALBUQUERQUE, NM 87106-3033
(505) 846-2761
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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