Individual
NIZAR GHAZI AL-NIMRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5000
(580) 379-5999
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009037641
MO
207R00000X
Internal Medicine Physician
41197
OK
208M00000X
Hospitalist Physician
2009037641
MO
208M00000X
Hospitalist Physician
Primary
41197
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200306030A
—
OK
Enumeration date
07/20/2008
Last updated
11/21/2023
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