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Bader M Al Enezi

Specialist/Technologist, Other, Surgical Assistant in Nashville, TN. Individual provider (NPI-1).

NPI number1699847244
StatusActive
Last updated in NPPESSep 16, 2016

Details

NPI
1699847244
Entity type
Individual (NPI-1)
Name
Bader M Al Enezi
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 15, 2006
Last updated
Sep 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant04166COYes

Practice location

3100 W End Ave
Suite 800
Nashville, TN 37203-1320

Phone 615-345-5400 · Fax 888-468-6511

Mailing address

1600 Sarno Rd
Suite 15
Melbourne, FL 32935-4938

Phone 800-348-4565 · Fax 888-468-6511

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