Organization
STEVE IBRAHIM DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE IBRAHIM I D.O. (OWNER)
(602) 361-3593
Entity
Organization
Contact information
Practice address
4065 E BELL RD, PHOENIX, AZ 85032-2208
(602) 867-0212
Mailing address
20118 N 67TH AVE, GLENDALE, AZ 85308-4621
(602) 361-3593
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4396
AZ
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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