Seleverstov Medical, P.c.

NPI #1275215972 in College Place, Washington

Provider Information

NPI Number: 1275215972
Entity Type: Organization
Organization Name: Seleverstov Medical, P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 2, 2023
Last Updated: Jan 29, 2025

Practice Location

Address: 56 N COLLEGE AVE UNIT 2A
City: College Place
State: Washington
ZIP Code: 99324-1048
Phone: (097) 300-7285

Authorized Official

Name: OLEKSANDR SELEVERSTOV, MD
Title: OWNER
Phone: (518) 801-6446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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