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Individual

MUSTAFA ARCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8328
Mailing address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8328

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A20329
CA

Other

Enumeration date
03/19/2019
Last updated
09/04/2024
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