Individual
DR. FAZIA AHMED MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-1476
Mailing address
888 DIEHNWELLS DR, SAINT LOUIS, MO 63119-5456
(316) 990-7007
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD2016-0892
NM
390200000X
Student in an Organized Health Care Education/Training Program
2010019841
MO
Other
Enumeration date
07/22/2010
Last updated
05/09/2024
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