Search › Idaho › 172V00000X
Pavel Zaverukha
NPI 1124561063 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4933 W Astonte St
Meridian, ID 83646 - Phone
- (208) 392-8056
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho