Individual
DR. ALEXANDER USMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON STREET HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354-2804
(909) 558-8131
Mailing address
11234 ANDERSON STREET HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
63636
AZ
Other
Enumeration date
07/07/2008
Last updated
06/03/2021
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