Individual
MR. ALIREZA MAZOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3000 N ARIZONA AVE, CHANDLER, AZ 85225-7717
(480) 371-4559
Mailing address
1250 S CLEARVIEW AVE STE 100, MESA, AZ 85209-3378
(480) 371-4559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4785
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816884
—
AZ
Enumeration date
12/22/2012
Last updated
07/14/2015
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