Individual
BASSEM REZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3515 W UNION HILLS DR STE 111, GLENDALE, AZ 85308-2430
(929) 308-5775
Mailing address
22010 N 73RD LN, GLENDALE, AZ 85310-5297
(929) 308-5775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2022027022
MO
363A00000X
Physician Assistant
TPPA961
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R79181
AZ
Other
Enumeration date
08/17/2022
Last updated
06/16/2025
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