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Individual

MR. MOHAMED A ELBAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS MB(ASCP)

Contact information

Practice address
1050 LAS TABLAS RD STE 14, TEMPLETON, CA 93465-9480
(503) 464-6467
Mailing address
5351 S VINCENT, MESA, AZ 85212-9113
(503) 464-6467

Taxonomy

Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
TX
246QM0706X
Medical Technologist
1825
OR
246ZB0500X
Biochemist

Other

Enumeration date
11/15/2012
Last updated
01/14/2021
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