Individual
DR. MUHAMMAD IYAD AZRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 RUSH AVE, BELLEFONTAINE, OH 43311-9488
(937) 593-3811
(937) 593-2430
Mailing address
1107 RUSH AVE, BELLEFONTAINE, OH 43311-9488
(937) 593-3811
(937) 593-2430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35091835
OH
207W00000X
Ophthalmology Physician
Primary
35.091835
OH
Other
Enumeration date
05/24/2007
Last updated
03/07/2012
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