Organization
NUSRUM IQBAL, MD PLLC
Active
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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