Individual
MOUSTAFA I HAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 W THOMAS RD, SUITE 900, PHOENIX, AZ 85013-4224
(602) 406-5590
(602) 406-7165
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 999-3637
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529073
—
AZ
Enumeration date
11/30/2007
Last updated
10/17/2019
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