Individual
DR. MOHAMMAD WISAM BAQDUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 W DUNLAP AVE, SUITE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8279
Mailing address
2510 W DUNLAP AVE, SUITE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44129
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/19/2009
Last updated
10/24/2011
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