SIMON FARID MIZYED

CLOVIS, CA
NPI1952301087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  19237)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  19237)
363AM0700X Physician Assistant, Medical
(Licence: CA  19237)
Enumeration Date2005-07-29
Last Update Date2019-11-04
Business Address
SIMON FARID MIZYED PA-C
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611-9205
Phone number: 559-320-0531
Mailing Address
SIMON FARID MIZYED PA-C
2625 E DIVISADERO ST
FRESNO, CA 93721-1431
Phone number: 559-443-2682