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Organization
AZIZEH ASGARI MD
Active
Organization
AZIZEH ASGARI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZIZEH ASGARI M.D. (MEDICAL DIRECTOR)
(580) 338-3135
Entity
Organization
Contact information
Practice address
421 MEDICAL DR, GUYMON, OK 73942-3640
(580) 338-3135
(580) 338-3137
Mailing address
PO BOX 1224, GUYMON, OK 73942-1224
(580) 338-3135
(580) 338-3137
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27528
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A489890
—
CA
05
—
00A489891
—
CA
05
—
200271700A
—
OK
01
—
954774889
BLUE CROSS
CA
Enumeration date
11/30/2006
Last updated
04/03/2012
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