IndividualActive
Aleksandr Sergojan, SO-IDC
NPI 1811529969 · Independent Duty Corpsman · Albuquerque, NM
Provider details
- NPI number
- 1811529969
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SO-IDC
- Sex
- Male
- Sole proprietor
- No
Mailing address
2734 Hyder Ave Se
Albuquerque, NM 87106-3033
Registry dates
- Enumerated
- 2020-02-06
- Last updated
- 2020-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.