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Individual

DR. LAITH GHAZALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1501 N CAMPBELL AVE RM 6408, TUCSON, AZ 85724-5040
(520) 626-2761
(520) 626-6020
Mailing address
4601 N VIA ENTRADA APT 2087, TUCSON, AZ 85718-5874
(619) 504-0125

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R74031
AZ

Other

Enumeration date
06/28/2013
Last updated
06/28/2013
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