Marat Grigorov

NPI 1063613628 - General Practice - 208D00000X

NPI Details
NPI 1063613628
Gender Male
Enumeration Date 05/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
NAVAL HOSPITAL MILITARY SICK CLINIC
MARINE CORP AIR GROUND COMBAT CENTER
TWENTYNINE PALMS CA, 92278, US
Phone (760) 830-5220
Fax
Business Location
57226 JARANA CT
YUCCA VALLEY CA, 92284-4175, US
Phone
Fax
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number 20A9361
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According to our database, Dr. Marat Grigorov NPI is 1063613628, taxonomy code is 208D00000X and license number is 20A9361, license state is located at California. Marat Grigorov physically located at Naval Hospital Military Sick Clinic, Twentynine Palms CA, 92278. NPI Number Marat Grigorov has the Individual type.

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1063613628 NPI number is provided on an as is basis without warranty of any kind. 1063613628 is maintained by the National Plan & Provider Enumeration System. The contents of Marat Grigorov are for informational purposes only.