Individual
MR. VASSIL DIMOV BOGDANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 439-6100
Mailing address
11 QUAIL LN, LA LUZ, NM 88337-9386
(575) 495-5962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
440
NM
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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