Individual
TALA RAMZI NASR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 W CLARENDON AVE, SUITE 375, PHOENIX, AZ 85013-3420
(602) 277-4164
(602) 266-3481
Mailing address
300 W CLARENDON AVE, SUITE 375, PHOENIX, AZ 85013-3420
(602) 277-4164
(602) 266-3481
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
059481
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0549481
—
GA
Enumeration date
12/14/2007
Last updated
02/07/2008
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