Azar, Camille George
Azar, Camille George is an individual health care provider with primary practice located at 1020 Lakeview Ave , Pueblo CO 81004-3508. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Azar, Camille George can be contacted via phone (719) 557-3660.Contact Information
Primary practice address
1020 Lakeview Ave
Pueblo CO 81004-3508
Phone: (719) 557-3660
Fax: (719) 557-3690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 43148 | Colorado |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | DR.0043148 | Colorado |
Profile Details
| NPI number | 1265477046 |
|---|---|
| LBN Legal business name | Azar, Camille George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Aug 8th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265477046 | NPPES |
| Colorado | MEDICAID | 75853345 | |
| Colorado | Other | P00184273 |
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