Individual
JOHN M GAZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 E 7TH ST, CHARLOTTE, NC 28204-2408
(704) 375-0100
(704) 887-6450
Mailing address
1420 E 7TH ST, CHARLOTTE, NC 28204-2408
(704) 375-0100
(704) 887-6450
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25023
NC
2088P0231X
Pediatric Urology Physician
Primary
25023
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8934991
—
NC
Enumeration date
08/16/2006
Last updated
03/02/2016
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