Organization
INFECTIOUS DISEASE CONSULTANTS OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALID ALMUTI MD (OWNER)
(917) 969-1281
Entity
Organization
Contact information
Practice address
19841 N 27TH AVE STE 403, PHOENIX, AZ 85027
(602) 439-0274
(480) 821-9555
Mailing address
3303 S LINDSAY RD, STE 123, GILBERT, AZ 85297-1503
(917) 969-1281
(480) 821-9555
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35819
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228441
—
AZ
01
—
35819
LICENSE
AZ
Enumeration date
08/21/2013
Last updated
08/16/2018
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