Organization
QAZI MOHSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(702) 453-3799
Mailing address
3921 SILVER LACE LN, REDDING, CA 96001-6303
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD60077994
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 60077994
WA LIC
WA
Enumeration date
05/01/2013
Last updated
05/01/2013
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