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Individual

DR. MOHAMAD WISSAM AL-BAGHDADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5555 W THUNDERBIRD, BANNER THUNDERBIRD MEDICAL CENTER, GLENDALE, AZ 85306
(602) 865-2627
(602) 865-2631
Mailing address
5555 W THUNDERBIRD, BANNER THUNDERBIRD MEDICAL CENTER, GLENDALE, AZ 85306
(602) 865-2627
(602) 865-2632

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35083849A
OH
207R00000X
Internal Medicine Physician
40862
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
40862
AZ
207RP1001X
Pulmonary Disease Physician
40862
AZ

Other

Enumeration date
10/12/2005
Last updated
10/21/2015
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