Individual
DR. DELORIS MADIM RIZQALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
701 E MARSHALL AVE, SUITE 400, LONGVIEW, TX 75601-5659
(903) 315-4422
(903) 753-3671
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-4422
(903) 753-3671
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016-005292
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1969
TX
Other
Enumeration date
12/02/2005
Last updated
01/11/2016
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