Organization
NUSRUM IQBAL, MD PLLC
Active
Other names
Arizona Primary Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NUSRUM IQBAL MD (OWNER)
(520) 335-2800
Entity
Organization
Contact information
Practice address
75 COLONIA DE SALUD STE 200C, SIERRA VISTA, AZ 85635-2486
(520) 335-2800
(520) 335-2804
Mailing address
75 COLONIA DE SALUD, STE C200, SIERRA VISTA, AZ 85635-2487
(520) 335-2800
(520) 335-2804
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
32359
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836033
—
AZ
01
—
Z 140498
MEDICARE PTAN
AZ
Enumeration date
07/23/2010
Last updated
03/08/2011
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