Individual
FERNANDO ARIEL MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 MINNEQUA AVE, PUEBLO, CO 81004-3734
(719) 564-0660
(719) 564-0037
Mailing address
1120 MINNEQUA AVE, PUEBLO, CO 81004-3734
(719) 564-0660
(719) 564-0037
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49049
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82301573
—
CO
Enumeration date
07/02/2010
Last updated
11/30/2011
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