Individual
DR. GUY HAZAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-2694
(314) 454-2515
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019026852
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019026852
PEDIATRICS
MO
Enumeration date
08/13/2019
Last updated
08/13/2019
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