Individual provider · Type 1 NPI

Blavir Rukov, DO

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1407199557 Active

Practice location

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Call (505) 265-1711 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XR12-2013 (NM)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1407199557

Blavir Rukov, DO's National Provider Identifier is 1407199557, issued on Mar 27, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 27, 2017.