Individual
DR. MOHAMED H. EL-GASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1896 E BABBIT LN, SAN LUIS, AZ 85336-7820
(928) 722-6112
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 662-0406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36344
AZ
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
36344
AZ
Other
Enumeration date
09/15/2008
Last updated
08/13/2024
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