Individual
STEPHEN AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(228) 424-4166
Mailing address
802 LAKELAND DR APT 337, JACKSON, MS 39216-4625
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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