Individual
JEFFREY CRAIG MAZIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 S YALE ST STE 150&151, FLAGSTAFF, AZ 86001-7304
(928) 527-4325
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75362
AZ
207R00000X
Internal Medicine Physician
D37088
MD
Other
Enumeration date
09/22/2006
Last updated
04/10/2025
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