Pavel S Blagov (NPI# 1346515541, PAC ID# 7911154356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1346515541 |
| PAC ID by PECOS | 7911154356 |
| Professional Enrollment ID | I20120820001184 |
| Full Name | Pavel S Blagov |
| Address |
409 E Sumach St Suite 3 Walla Walla WA 99362-1202 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 409 E Sumach St, Suite 3, Walla Walla, WA 99362-1202 |
| Street Address |
409 E SUMACH ST SUITE 3 |
| City | WALLA WALLA |
| State | WA |
| Zip | 99362-1202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan L Stough | Clinical Social Worker | 409 E Sumach St, Suite 6, Walla Walla, WA 99362-1202 | |
| Natasha Anne Rustad | Clinical Social Worker | 409 E Sumach St, Rustad Counseling LLC, Walla Walla, WA 99362-1202 | |
| Robert L Stough Jr. | Psychologist, Clinical | 409 E Sumach St, Walla Walla, WA 99362-1228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia A Wallace | Clinical Social Worker | 19 E Birch, Suite 103, Walla Walla, WA 99362 | |
| Chance Higginbotham | Chiropractic | 2200 Melrose St, 7a, Walla Walla, WA 99362-1579 | |
| Alayna M Brinton | Clinical Social Worker | 2330 Eastgate St, Suite 140, Walla Walla, WA 99362-1589 | |
| Sean Thomas Duffy | Family Medicine | Yakima Valley Farm Workers Clinic | 1120 W Rose St, Walla Walla, WA 99362-1662 |
| Bradley K Nielson | Optometry | 208 N 2nd Ave, Walla Walla, WA 99362-1806 | |
| Eric John Wiessner | Optometry | 614 E Alder St, Suite 1, Walla Walla, WA 99362-2073 | |
| Harry W Wiessner | Optometry | 614 E Alder, 1 Vision Source Walla Walla, Walla Walla, WA 99362-2073 | |
| Daniel James Wiessner | Optometry | 614 E Alder St, Suite 1, Walla Walla, WA 99362-2073 | |
| Steven J Davis | Optometry | 614 E Alder St, Suite 1, Walla Walla, WA 99362-2073 | |
| Jimmye D Angell-erickson | Psychologist, Clinical | 1144 Alvarado Ter, Walla Walla, WA 99362-2106 | |
| Find all physicians in zip 99362 | |||
| City | WALLA WALLA |
| Zip Code | 99362 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | WALLA WALLA + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Pavel S Blagov.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.