EVAN S AL-BAZI

MONROE, MI
NPI1508386103
Other NameEVAN SAM ALBAZI
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  5101025310)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: OH  34.015443)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-06-23
Last Update Date2023-03-23
Business Address
Dr. EVAN S AL-BAZI DO
718 N MACOMB ST
MONROE, MI 48162-7815
Phone number: 734-240-8400
Mailing Address
Dr. EVAN S AL-BAZI DO
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698