Individual
KOMAL AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1465 SOUTH GRAND BLVD., ST. LOUIS, MO 63104
(314) 268-4070
(314) 268-4019
Mailing address
1465 SOUTH GRAND BLVD., ST. LOUIS, MO 63104
(314) 268-4070
(314) 268-4019
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
A174387
CA
Other
Enumeration date
07/09/2018
Last updated
07/01/2024
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