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Dr. Walter Sam Mazen JR., MD
Gynecology Physician in Chico, California
NPI 1649292624

Walter Sam Mazen JR. is a Gynecology Physician based in Chico, CA and is specialized in Gynecology. Walter Sam Mazen JR. practices in Chico, CA and has the professional credentials of MD. The NPI Number for Walter Sam Mazen JR. is 1649292624 and holds a License No. G45960 (California).

The current practice location address for Walter Sam Mazen JR. is 1665 Esplanade, Chico, CA and can be reached out via phone at 530-895-0423 and via fax at 530-895-1872.

Location: 1665 Esplanade, Chico, CA, 95926-3312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649292624
Provider Name
Walter Sam Mazen JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1665 Esplanade, Chico, CA, 95926-3312
Phone Number
530-895-0423
Fax Number
530-895-1872
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GROO43570 05 CA
G45960 01 CA CALIFORNIA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1665 Esplanade
City
Chico
State
California
Zip
95926-3312
Phone Number
530-895-0423
Fax Number
530-895-1872
person
Provider Business Mailing Address Details
Address
1665 Esplanade
City
Chico
State
California
Zip
95926-3312
Phone Number
530-895-0423
Fax Number
530-895-1872
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
G45960 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
G45960 (California)
Definition
Definition to come...
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