Individual
MR. ISAAC AZIZ ISAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3476
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3476
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20550
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
923228
—
AZ
01
—
AZ0772650
BCBSAZ
AZ
Enumeration date
09/14/2006
Last updated
11/04/2021
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