Individual
ALEKSANDR L ZAVERUKHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
8374 W HARMONICA WAY, BOISE, ID 83709-6386
(208) 284-4541
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
01/03/2022
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