Individual
HUSSEIN DAWOD JABR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
2632 N 20TH ST, PHOENIX, AZ 85006-1339
(602) 266-2200
(602) 240-6177
Mailing address
PO BOX 61773, PHOENIX, AZ 85082-1773
(602) 266-2200
(602) 240-6177
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
00000
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860338466
TAX-D
AZ
Enumeration date
10/07/2008
Last updated
10/07/2008
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