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ABDELAZIZ FARHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
750 W 800 N, OREM, UT 84057-3660
(435) 216-3590
(347) 851-8402
Mailing address
6030 W EMERALD ST, BOISE, ID 83704-8855
(347) 851-8402

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
11504423-1205
UT
2080P0203X
Pediatric Critical Care Medicine Physician
R3508
TX

Other

Enumeration date
06/23/2014
Last updated
06/12/2023
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