Individual
AMIRARSALAN EISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1209 S 1ST AVE, PHOENIX, AZ 85003-2692
(602) 258-6797
(602) 248-8113
Mailing address
3877 N 7TH ST STE 400, PHOENIX, AZ 85014-5061
(602) 258-6797
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
50946
AZ
2083P0901X
Public Health & General Preventive Medicine Physician
50946
AZ
Other
Enumeration date
04/05/2011
Last updated
06/15/2025
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