Individual
MUSTAFA FAISAL MUSTAFA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-3190
Mailing address
289 S HIGHWAY 92 APT 1201, SIERRA VISTA, AZ 85635-3679
(312) 978-0764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R78390
AZ
208M00000X
Hospitalist Physician
Primary
A185288
CA
Other
Enumeration date
08/03/2020
Last updated
08/03/2023
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