# STEVE IBRAHIM DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063658334
- **Authorized official:** DR. STEVE IBRAHIM I D.O. (OWNER)
- **Authorized official phone:** (602) 361-3593

## Contact information

- **Practice address:** 4065 E BELL RD, PHOENIX, AZ 85032-2208
- **Practice address phone:** (602) 867-0212
- **Mailing address:** 20118 N 67TH AVE, GLENDALE, AZ 85308-4621
- **Mailing address phone:** (602) 361-3593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4396 | AZ | Yes |

## Other

- **Enumeration date:** 12/16/2008
- **Last updated:** 12/16/2008