Individual
DR. WALID HIKMET AZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.PH.D.
Contact information
Practice address
512 CHERRY ST, BUILDING 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
UMWA
WV
Enumeration date
07/11/2006
Last updated
10/14/2008
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