Individual
DR. ADEL BOZORGZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
469 HIGHWAY 50, GILLETTE, WY 82718-9330
(307) 387-9850
(307) 387-9890
Mailing address
201 W LAKEWAY RD STE 1004, GILLETTE, WY 82718-6349
(307) 387-9850
(307) 387-9890
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
238379
MA
208600000X
Surgery Physician
Primary
TL8537
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081143A
—
MA
Enumeration date
06/23/2006
Last updated
01/02/2025
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