Organization
AMF GASTROENTEROGY, INC
Active
Other names
Gastroenterology practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSHDA MUMTAZ M.D. (PRESIDENT)
(602) 309-7716
Entity
Organization
Contact information
Practice address
1310 N 24TH ST STE 100, PHOENIX, AZ 85008
(602) 254-6101
(602) 279-1720
Mailing address
2902 E GARY WAY, PHOENIX, AZ 85042-7107
(602) 309-7716
(602) 279-1720
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
28980
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550899
—
AZ
Enumeration date
01/14/2013
Last updated
08/21/2018
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