Individual
DR. MEHRDOD SHAKOURI ELEEZEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
560 N CAMINO MERCADO STE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
(844) 772-0049
Mailing address
560 N CAMINO MERCADO STE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
(844) 722-0049
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
009309
AZ
Other
Enumeration date
05/10/2017
Last updated
05/30/2023
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