Dr. Ali Tarif Bazzy, D.O.
Family Medicine in Saint Clair Shores, MI. Individual provider (NPI-1).
NPI number1962882910
StatusActive
Last updated in NPPESJul 3, 2018
Details
- NPI
- 1962882910
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ali Tarif Bazzy
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2015
- Last updated
- Jul 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101021541 | MI | Yes |
Practice location
20225 E 9 Mile Rd Ste ASaint Clair Shores, MI 48080
Phone 586-779-8700 · Fax 586-498-1425
Mailing address
20225 E 9 Mile Rd Ste ASaint Clair Shores, MI 48080-1700
Phone 586-779-8700 · Fax 586-498-1425
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