Organization
AMA MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED COULIBALY DIT FALL FNP-C (SOLE MBR/OWNER)
(520) 256-7028
Entity
Organization
Contact information
Practice address
11069 N MOUNTAIN BREEZE DR, TUCSON, AZ 85737
(520) 256-7028
Mailing address
11069 N MOUNTAIN BREEZE DR, TUCSON, AZ 85737-7066
(520) 256-7028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP5641
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
965996
—
AZ
Enumeration date
04/20/2018
Last updated
12/02/2024
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