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Igor Nazarov, MD
General Practice Physician in Puyallup, Washington
NPI 1205151958

Igor Nazarov is a General Practice Physician based in Bellevue, WA. Igor Nazarov practices in Puyallup, WA and has the professional credentials of MD. The NPI Number for Igor Nazarov is 1205151958 and holds a License No. UV075151 (Washington).

The current practice location address for Igor Nazarov is 15214 Canyon Rd E, Puyallup, WA and can be reached out via phone at 253-539-4200.

Location: 15214 Canyon Rd E, Puyallup, WA, 98007-7509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205151958
Provider Name
Igor Nazarov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15214 Canyon Rd E, Puyallup, WA, 98007-7509
Phone Number
253-539-4200
Fax Number
Provider Enumeration Date
04/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15214 Canyon Rd E
City
Puyallup
State
Washington
Zip
98375-7472
Phone Number
253-539-4200
Fax Number
person
Provider Business Mailing Address Details
Address
15214 Canyon Rd E
City
Puyallup
State
Washington
Zip
98375-7472
Phone Number
253-539-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
UV075151 ()
Definition
Definition to come...
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