Organization
AZZO ORTHOPEDICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALID HIKMET AZZO MD.PH.D. (PHYSICIAN)
(304) 324-2725
Entity
Organization
Contact information
Practice address
512 CHERRY ST BLDG I, BLUEFIELD, WV 24701-3341
(304) 324-2725
(304) 324-2780
Mailing address
PO BOX 1696, BLUEFIELD, WV 24701-1696
(304) 324-2725
(304) 324-2780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17728
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097968000
—
WV
01
—
1478158
UNITED MINE WORKERS
WV
Enumeration date
12/21/2006
Last updated
01/04/2011
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