Individual
DR. AZMI E FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5390 N ACADEMY BLVD, SUITE 220, COLORADO SPRINGS, CO 80918-4062
(719) 268-9000
(719) 268-6687
Mailing address
5390 N ACADEMY BLVD, SUITE 220, COLORADO SPRINGS, CO 80918-4062
(719) 268-9000
(719) 268-6687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30594
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01305945
—
CO
01
—
FA29131
BLUE CROSS BLUE SHIELD
CO
Enumeration date
12/06/2006
Last updated
07/06/2012
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