Individual
EDIM MUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 W BROWN RD, MESA, AZ 85201-3404
(480) 985-1093
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
188129
AZ
Other
Enumeration date
11/26/2019
Last updated
06/28/2023
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