Individual
MOUSAB MOHAMMED IBRAHIM MOKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 544-1488
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0075660
CO
Other
Enumeration date
09/05/2022
Last updated
09/05/2025
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