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Individual

YULIUS MUSTAFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2400 S AVE A, YUMA, AZ 85364
(928) 336-2000
Mailing address
PO BOX 5990, YUMA, AZ 86366-5990
(928) 343-7911
(928) 343-9547

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31828
AZ
208M00000X
Hospitalist Physician
Primary
31828
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
957988
AZ
01
AZ0788380
BCBS TRICARE
AZ
01
P00255650
RRMC
AZ
Enumeration date
11/22/2006
Last updated
03/16/2020
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