Organization
KALID ADAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCOUNTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
501 N. NAVAJO DRIVE, PAGE, AZ 86040-1447
(928) 645-2424
Mailing address
PO BOX 221692, EL PASO, TX 79913-4692
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
45766
AZ
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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