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Individual

DR. ALEXANDER ZILBERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 639-6025
(928) 649-7921
Mailing address
PO BOX 8, LAKE HAVASU CITY, AZ 86405-0008
(928) 854-6500
(928) 854-6206

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
31136
AZ
208600000X
Surgery Physician
Primary
31136
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020054732
RAILROAD MEDICARE
AZ
05
753261
AZ
01
AZ0728500
AZ BC/BS PROVIDER NUMBER
AZ
01
AZ0735650
CHAMPUS TRICARE NUMBER
AZ
Enumeration date
07/07/2005
Last updated
09/24/2024
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