NPI 1083711121

Pavel Mourachov, MD

Practitioner Urology Physician Los Alamos, NM

Practice location

Address: 3917 West Rd STE 137, Los Alamos, NM 87544
Phone: (505) 661-8500
Fax: (505) 661-0096

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD2008-0654 (NM)

Other Urology providers in New Mexico →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD071992L (PA)

Registry record

NPI: 1083711121
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 11 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.