Individual
MR. ALY MOHAMED MOHSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 N MAIN ST, SUIT C, HARRISON, AR 72601-3535
(866) 543-3621
(866) 543-3621
Mailing address
501 N MAIN ST, SUIT C, HARRISON, AR 72602-2743
(866) 543-3621
(866) 543-3621
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
E-3715
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150491001
—
AR
01
—
43-1551638
TAX ID
—
Enumeration date
08/15/2006
Last updated
09/20/2012
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