Individual
SYED T AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13180 E COLOSSAL CAVE RD, SUITE 150, VAIL, AZ 85641-9794
(520) 762-1557
(520) 762-8019
Mailing address
13180 E COLOSSAL CAVE RD, SUITE 150, VAIL, AZ 85641-9794
(520) 762-1557
(520) 762-8019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31208
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758683
—
AZ
Enumeration date
09/22/2005
Last updated
11/03/2011
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