Individual
MAZEN MOHAMED IBRAHIM IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
181 W MEADOW DR, VAIL, CO 81657-5242
(970) 479-7203
(970) 479-7282
Mailing address
181 W MEADOW DR STE 400, VAIL, CO 81657-5058
(970) 479-7203
(970) 479-7282
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DR.0074162
CO
207XP3100X
Pediatric Orthopaedic Surgery Physician
DR.0074162
CO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
DR.0074162
CO
Other
Enumeration date
07/27/2024
Last updated
08/06/2025
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