OLEG IVANOV

CASPER, WY
NPI1437311222
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: WY  8672A)
Enumeration Date2008-07-02
Last Update Date2011-07-29
Business Address
-- OLEG IVANOV M.D.
1230 E 1ST ST
CASPER, WY 82601-2704
Phone number: 307-266-3174
Mailing Address
-- OLEG IVANOV M.D.
1230 E 1ST ST
CASPER, WY 82601-2704
Phone number: 307-266-3174
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