Individual
SHAHLA FOROOTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34 N FRENCH PL, PRESCOTT, AZ 86303-6257
(928) 778-4629
(928) 778-4629
Mailing address
34 N FRENCH PL, PRESCOTT, AZ 86303-6257
(928) 778-4629
(928) 778-4629
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
15747
AZ
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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