Individual
MR. MOTASSAM KHALED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 E DUNLAP AVE, PHOENIX, AZ 85020-2821
(602) 371-3709
Mailing address
12849 E SAHUARO DR, SCOTTSDALE, AZ 85259-4445
(602) 741-0117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S11510
AZ
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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