Individual
PIERRE GUY DAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSHS, PA-C
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-5950
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-5950
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
MD
Other
Enumeration date
07/22/2016
Last updated
01/21/2020
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