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Individual

BASHIR ADAM KOKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
1501 N CAMPBELL AVE RM 5304, TUCSON, AZ 85724-0001
(520) 626-7747
(520) 626-2247
Mailing address
PO BOX 245058, TUCSON, AZ 85724-5058
(520) 626-7747
(520) 626-2247

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R79322
AZ

Other

Enumeration date
09/14/2022
Last updated
09/14/2022
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