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Individual

DR. AMIRA BAKKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3676 PARKER BLVD STE 250, PUEBLO, CO 81008-2212
(719) 595-7585
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 595-7585

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0071858
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL0098370
CO

Other

Enumeration date
11/04/2020
Last updated
08/31/2023
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