Individual
MANSOUR H. ASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3124 WILLOW CREEK RD STE 200, PRESCOTT, AZ 86301-6610
(928) 474-5286
(928) 474-0171
Mailing address
3124 WILLOW CREEK RD STE 200, PRESCOTT, AZ 86301-6610
(928) 474-5286
(928) 474-0171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23221
AZ
207RC0000X
Cardiovascular Disease Physician
23221
AZ
207RI0011X
Interventional Cardiology Physician
Primary
23221
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317629
—
AZ
Enumeration date
06/30/2005
Last updated
09/01/2022
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