Individual
DAVID A MESIBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
118 CENTRAL PARK SQUARE, LOS ALAMOS, NM 87544
(505) 662-4798
Mailing address
PO BOX 1250, 118 CENTRAL PARK SQUARE, LOS ALAMOS, NM 87544
(505) 662-4798
(505) 661-9637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97-99
NM
Other
Enumeration date
09/12/2006
Last updated
08/07/2013
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