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Individual

SERGE A. HOUGEIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
(602) 344-1423
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
45247
AZ
207P00000X
Emergency Medicine Physician
MT188675
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A108572
MEDICAL LICENSE
CA
Enumeration date
04/26/2007
Last updated
03/17/2018
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