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Individual

IRVIN SAM BELZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2510 W DUNLAP AVE STE 290, PHOENIX, AZ 85021-2759
(602) 789-0344
(602) 789-8389
Mailing address
3411 N 5TH AVE, STE 209, PHOENIX, AZ 85013-3812
(602) 789-0344
(602) 870-7566

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11398
NE
207R00000X
Internal Medicine Physician
Primary
6258
AZ
207R00000X
Internal Medicine Physician
A21994
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21700101
AZ
Enumeration date
06/02/2006
Last updated
07/21/2022
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