SERGEI BORISOVICH IVANOV

SPOKANE, WA
NPI1457732950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WA  MD61120400)
Enumeration Date2015-06-11
Last Update Date2023-11-28
Business Address
Dr. SERGEI BORISOVICH IVANOV MD
62 W 7TH AVE STE 320
SPOKANE, WA 99204-2321
Phone number: 509-381-6505
Mailing Address
Dr. SERGEI BORISOVICH IVANOV MD
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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