Individual
DR. GREGG DARIUS AZIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
(541) 322-3501
Mailing address
PO BOX 6018, BEND, OR 97708-6018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD23793
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286934
—
OR
Enumeration date
01/05/2006
Last updated
07/08/2007
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