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1922015445
JEFFREY MORITO NIIZAWA
BULLHEAD CITY, AZ
NPI
1922015445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: AZ 21760)
Enumeration Date
2006-08-01
Last Update Date
2021-11-30
Business Address
-- JEFFREY MORITO NIIZAWA M.D.
2020 SILVER CREEK RD SUITE 220
BULLHEAD CITY, AZ 86442-8476
Phone number: 928-763-2500
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Mailing Address
-- JEFFREY MORITO NIIZAWA M.D.
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone number: 615-465-7672
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