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Individual

DR. PATRICK BRYAN MAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100, SAINT LOUIS, MO 63110-1035
(314) 747-1206
(314) 454-5392
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 747-1206
(314) 454-5392

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
2020027277
MO
207R00000X
Internal Medicine Physician
2020027277
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2020027277
MO
207RI0200X
Infectious Disease Physician
Primary
2020027277
MO
207RP1001X
Pulmonary Disease Physician
2020027277
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200086316
MO
Enumeration date
03/29/2016
Last updated
04/17/2025
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