Individual
DR. MAZIN HAZIM KAMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 REMINGTON PLACE CT, BALLWIN, MO 63021-6369
(094) 122-2052
Mailing address
15 REMINGTON PLACE CT, BALLWIN, MO 63021-6369
(094) 122-2052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018042518
MO
207RG0100X
Gastroenterology Physician
2018042518
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
MO
Enumeration date
07/20/2020
Last updated
07/20/2020
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