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1265962450
ISSA POUR GHAZ
CARBONDALE, IL
NPI
1265962450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL 036163430)
Enumeration Date
2017-06-19
Last Update Date
2023-07-17
Business Address
Dr. ISSA POUR GHAZ MD
409 W OAK ST
CARBONDALE, IL 62901-1464
Phone number: 618-529-4455
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Mailing Address
Dr. ISSA POUR GHAZ MD
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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