Individual
TAREQ MUSTAFA YASEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12631 E 17TH AVE, AURORA, CO 80045-2527
(303) 724-2302
Mailing address
12631 E 17TH AVE, AURORA, CO 80045-2527
(303) 724-2302
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD477202
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
10/23/2023
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