OMAR AL AZZAWI
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1407581085- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1011 SYLVAN AVE, MODESTO, CA, 953501692
- Phone
- (209) 572-5906
Specialties & Taxonomies
Internal Medicine
Primary License: CA #A203176
All Addresses
MAILING
1011 SYLVAN AVE
MODESTO, CA, 953501692