Individual
SAMI NABIL NASRALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 649-7889
(928) 649-7936
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44010
TN
207R00000X
Internal Medicine Physician
TD61451774
WA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
42363
AZ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
TD61451774
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507554
—
TN
05
—
481686
—
AZ
05
—
7100058780
—
KY
Enumeration date
10/01/2007
Last updated
04/25/2024
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