Individual
DR. MUSTAFA AL-OGAILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 308-5763
Mailing address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
R81380
AZ
261QM1300X
Multi-Specialty Clinic/Center
Primary
R81380
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R81380
AZ
Other
Enumeration date
12/24/2024
Last updated
03/25/2026
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