Individual
DR. KERI L AZUAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 THOMPSON ST., ST. PAUL, MN 55102
(651) 292-2000
Mailing address
166 4TH ST. E., STE. 100, ST. PAUL, MN 55101-1474
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
45449
CO
2085R0202X
Diagnostic Radiology Physician
Primary
65451
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021768
KAISER COMMERCIAL NUMBER
CO
05
—
54756219
—
CO
Enumeration date
08/12/2006
Last updated
08/01/2019
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