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Individual

DR. ABRAHAM MOSES PANOSSIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 S DOBSON RD BLDG A, CHANDLER, AZ 85224-5678
(480) 786-6655
Mailing address
600 S DOBSON RD BLDG A, CHANDLER, AZ 85224-5678
(480) 786-6655

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A99283
CA
207RG0100X
Gastroenterology Physician
Primary
ME101157
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000217600
FL
01
44704
LICENSE
AZ
05
658249
AZ
Enumeration date
08/17/2007
Last updated
06/25/2012
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