Alexander Selivanov

NPI #1144417247 in Las Vegas, Nevada

Provider Information

NPI Number
1144417247
Entity Type
Individual
Name
Alexander Selivanov
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 2, 2007
Last Updated
May 29, 2008

Practice Location

Address
3510 E TROPICANA AVE STE M
State
Nevada
ZIP Code
89121-7341
Phone
(702) 436-1717

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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