REVAZ BOUKIA

ASHLAND, OR
NPI1144638859
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA228829)
Enumeration Date2014-07-25
Last Update Date2026-05-06
Business Address
REVAZ BOUKIA PA-C
280 MAPLE ST
ASHLAND, OR 97520-1552
Phone number: 541-201-4000
Mailing Address
REVAZ BOUKIA PA-C
2825 E BARNETT RD MSS
MEDFORD, OR 97504-8332
Phone number: 541-789-4281
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