Most Relevant Information
Provider Data
| NPI Number: | 1003291832 |
| Provider Name: | EDWARD SHIBLI AZAR DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 213ES0103X |
| Specialty: | Podiatrist |
| License Number: | E5241 |
Most Important Dates
| Enumeration Date: | 07/22/2015 |
| Last Updated: | 03/13/2024 |
Provider Practice Location
9675 MONTE VISTA AVE STE D
MONTCLAIR
CA
917632213
Practice Location Phone/Fax
| Phone: | 2135372927 |
| Fax: |
Provider Mailing Location
9675 MONTE VISTA AVE STE D
MONTCLAIR
CA
917632213
Provider Mailing Phone/Fax
| Phone: | 2135372927 |
| Fax: |
Suggested EMR
Podiatry EMR