Individual provider · Type 1 NPI

Edgar Jose Paz Concho

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1376221697 Active

Practice location

3990 John R St
Detroit, MI 48201-2018

Call (313) 745-7233 Map

Mailing address

3212 Woodland Ave
Royal Oak, MI 48073-2358

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351051494 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376221697

Edgar Jose Paz Concho's National Provider Identifier is 1376221697, issued on Jul 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jul 6, 2023.