Individual
HADI SAFAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
108 ARIZONA ST, BISBEE, AZ 85603-1804
(520) 432-3309
Mailing address
4058 WILLOWS RD, ALPINE, CA 91901-1668
(619) 445-1188
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
16123
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019515
—
AZ
Enumeration date
04/26/2012
Last updated
04/09/2024
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