OTHNIEL S BALIZOU

PHOENIX, AZ
NPI1659047371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-08-22
Last Update Date2021-08-22
Business Address
OTHNIEL S BALIZOU MD
1300 N 12TH ST STE 508
PHOENIX, AZ 85006-2849
Phone number: 602-839-3927
Mailing Address
OTHNIEL S BALIZOU MD
1300 N 12TH ST STE 508
PHOENIX, AZ 85006-2849
Phone number: 602-839-3927
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