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Individual

DR. MOAZ WALEED ABULFARAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
275442
NY
208600000X
Surgery Physician
Primary
29337
MS

Other

Enumeration date
01/18/2011
Last updated
04/20/2022
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