Individual
MR. KHAMIS TWFIQ KHAMIS ABUZERIQ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2448 ROCKLIN DR, COLORADO SPRINGS, CO 80915-4319
(505) 250-6690
Mailing address
2448 ROCKLIN DR, COLORADO SPRINGS, CO 80915-4319
(505) 250-6690
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
09-299-0397
CO
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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