Organization
COBRE VALLEY INTERNAL MEDICINE, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAHERA ISLAM (ADMINISTRATOR)
(928) 402-4278
Entity
Organization
Contact information
Practice address
5860 S HOSPITAL DR, SUITE 106, GLOBE, AZ 85501-9449
(928) 402-4278
(928) 425-2304
Mailing address
5860 S HOSPITAL DR, SUITE 106, GLOBE, AZ 85501-9449
(928) 402-4278
(928) 425-2304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33961
AZ
Other
Enumeration date
05/17/2007
Last updated
11/24/2007
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