Individual
FAISAL MAHFOOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3670 PARKER BLVD STE 101, PUEBLO, CO 81008-2285
(719) 562-2900
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036173137
IL
207R00000X
Internal Medicine Physician
DR.0069122
CO
207R00000X
Internal Medicine Physician
TL.0007918
CO
Other
Enumeration date
06/25/2019
Last updated
02/26/2025
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