Individual
DR. OMID HAZINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1501 SAN PEDRO S.E., ALBUQUERQUE, NM 87108
(505) 265-1711
Mailing address
8001 OSO LOCO DR NE, ALBUQUERQUE, NM 87122-1376
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
T1030
NM
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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