Individual
CAMILLE GEORGE AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 LAKEVIEW AVE, PUEBLO, CO 81004-3508
(719) 557-3660
(719) 557-3690
Mailing address
1020 LAKEVIEW AVE, PUEBLO, CO 81004-3508
(719) 557-3660
(719) 557-3690
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
43148
CO
207RG0100X
Gastroenterology Physician
Primary
DR.0043148
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75853345
—
CO
01
—
P00184273
MEDICARE RAILROAD
CO
Enumeration date
06/17/2006
Last updated
08/08/2016
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