Most Relevant Information
Provider Data
| NPI Number: | 1003505553 |
| Provider Name: | BAR BOROHOV |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | R80178 |
Most Important Dates
| Enumeration Date: | 05/02/2023 |
| Last Updated: | 05/02/2023 |
Provider Practice Location
1501 N CAMPBELL AVE RM 5304C
TUCSON
AZ
857240001
Practice Location Phone/Fax
| Phone: | 5206944000 |
| Fax: |
Provider Mailing Location
1501 N CAMPBELL AVE RM 5304C
TUCSON
AZ
857245058
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |