Individual
DR. VICTOR ANAZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 5TH AVE, MCCOMB, MS 39648-4159
(601) 249-0013
(601) 249-0592
Mailing address
120 5TH AVE, MCCOMB, MS 39648-4159
(601) 249-0013
(601) 249-0592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14997
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121885
—
MS
01
—
1174627459
NPI
MS
01
—
1245348499
NPI
MS
Enumeration date
08/15/2005
Last updated
10/18/2010
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