Robert J Azar is a Vascular Surgery in Gresham, Oregon. Robert J Azar practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Robert J Azar is 1255316857. The last update date is 2019-09-25.
Robert J Azar's current location address is 25050 Se Stark St Ste 265, Gresham, Oregon. You can contact this provider via phone number 5036741520 and fax number 5036741599. The mailing address for Robert J Azar is 25050 Se Stark St Ste 265, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert J Azar |
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Address | 25050 Se Stark St Ste 265, Gresham, Oregon |
Phone Number | 5036741520 |
Fax Number | 5036741599 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1255316857 |
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Provider Enumeration Date | 2005-12-07 |
Last Updated Date | 2019-09-25 |
Provider Mailing Address Detail
Address | 25050 Se Stark St Ste 265 |
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City | Gresham |
State | Oregon (OR) |
Post Code | 970303388 |
Phone Number | 5036741520 |
Fax Number | 5036741599 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | MD18386 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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P00965924 | OR | RR MEDICARE - PROVIDENCE | |
151335 | OR | -- |
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What is the unique 10-digit identification code assigned to Robert J Azar by the Centers for Medicare & Medicaid Services?
The Robert J Azar has been issued the NPI (National Provider Identifier) 1255316857, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Robert J Azar is physically located?
The Robert J Azar is physically situated at the following address: 25050 Se Stark St Ste 265, Gresham, OR, 970303388.
What is Robert J Azar's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert J Azar's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
On what date did the Robert J Azar receive its 1255316857 assignment from the Centers for Medicare & Medicaid Services?
The Robert J Azar was assigned its 1255316857 by the Centers for Medicare & Medicaid Services on 2005-12-07.
As of what date were the details related to Robert J Azar most recently updated or revised?
The information pertaining to Robert J Azar, including its address, specialty, and other relevant details, was last updated or revised on 2019-09-25.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY