Individual
DR. GHASSAN JERJOUS IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
424 S 56TH ST STE 120, PHOENIX, AZ 85034-2177
(602) 685-5166
(602) 685-5325
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(623) 266-7770
(623) 322-4639
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA08776200
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
58135
AZ
Other
Enumeration date
05/05/2008
Last updated
07/29/2022
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