Individual
DR. AMMER AL-DAIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(346) 719-1016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP05034
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DR.0072768
CO
Other
Enumeration date
03/27/2020
Last updated
08/14/2024
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