Individual
MR. ALI REZA MANSOORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.T./C.S.F.A.
Contact information
Practice address
9261 WINDRIFT WAY, ZIONSVILLE, IN 46077-8993
(317) 403-8205
Mailing address
9261 WINDRIFT WAY, ZIONSVILLE, IN 46077-8993
(317) 403-8205
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
246ZC0007X
IN
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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