Individual
MR. MAZEN JAAFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 KY ROUTE 321 STE 3124, PRESTONSBURG, KY 41653-9113
(606) 886-7635
(606) 886-7680
Mailing address
5000 KY ROUTE 321 STE 3124, PRESTONSBURG, KY 41653-9113
(606) 886-7635
(606) 886-7680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30466
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64304660
—
KY
Enumeration date
07/23/2006
Last updated
10/06/2014
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