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DR. MICHEAL ANDREW MASSOUD D.O.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1194183012

Individual Registrant:
DR. MICHEAL ANDREW MASSOUD D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
101 BODIN CIRCLE INERNAL MEDICINE CLINIC TRAVIS AIR FORCE BASE, CA 94535-1809 US
Tel: 707-423-7342  Fax: 707-423-5058

Contact information for business:
101 BODIN CIRCLE INERNAL MEDICINE CLINIC TRAVIS AIR FORCE BASE, CA 94535-1809 US
Tel: 707-423-7342  Fax: --

Registration Information:
NPI: 1194183012
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
OH34.013157

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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