Individual
MR. MARWAN GAMAL ELMUBARAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2022 E LOMA VISTA DR, TEMPE, AZ 85282-2926
(480) 861-6490
Mailing address
2022 E LOMA VISTA DR, TEMPE, AZ 85282-2926
(480) 861-6490
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
463999
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463999
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
AZ
Enumeration date
09/28/2010
Last updated
09/28/2010
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