Organization
MZ TRANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM E AHMED OWNER (OWNER/MANAGER)
(480) 286-9779
Entity
Organization
Contact information
Practice address
8603 N 22ND AVE APT 134, PHOENIX, AZ 85021
(480) 286-9779
Mailing address
8603 N 22ND AVE, #134, PHOENIX, AZ 85021-4262
(480) 286-9779
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
547418
AZ
Other
Enumeration date
05/29/2012
Last updated
08/27/2012
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