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DR. KRISTEN AZZAM MD

>> Military Health Care Provider >> Other Service Providers

Registrant NPI Number: 1801389465

Individual Registrant:
DR. KRISTEN  AZZAM MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
200 MERCY CIRCLE  CAMP PENDLETON, CA 92055 US
Tel: 720-635-0445  Fax: --

Contact information for business:
PO BOX 555191  CAMP PENDLETON, CA 92055-5191 US
Tel: --  Fax: --

Registration Information:
NPI: 1801389465
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171000000XOther Service Providers
Military Health Care Provider

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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