person
Blavir Rukov, DO
Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico
NPI 1407199557

Blavir Rukov is a Student in an Organized Health Care Education/Training Program based in Albuquerque, NM. Blavir Rukov practices in Albuquerque, NM and has the professional credentials of DO. The NPI Number for Blavir Rukov is 1407199557 and holds a License No. R12-2013 (New Mexico).

The current practice location address for Blavir Rukov is 1501 San Pedro Dr Se, Albuquerque, NM and can be reached out via phone at 505-265-1711.

Location: 1501 San Pedro Dr Se, Albuquerque, NM, 87108-5153
person
Provider Profile Details
NPI Number
1407199557
Provider Name
Blavir Rukov
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1501 San Pedro Dr Se, Albuquerque, NM, 87108-5153
Phone Number
505-265-1711
Fax Number
Provider Enumeration Date
03/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 San Pedro Dr Se
City
State
Zip
87108-5153
Phone Number
505-265-1711
Fax Number
person
Provider Business Mailing Address Details
Address
1501 San Pedro Dr Se
City
State
Zip
87108-5153
Phone Number
505-265-1711
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
R12-2013 (New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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