Individual
SORAYA BOUMEDIENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1959 S VAL VISTA DR, MESA, AZ 85204-7356
(480) 545-1398
Mailing address
PO BOX 6511, SCOTTSDALE, AZ 85261-6511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72327
AZ
207Q00000X
Family Medicine Physician
A181349
CA
208D00000X
General Practice Physician
72327
AZ
208D00000X
General Practice Physician
A181349
CA
Other
Enumeration date
04/03/2019
Last updated
02/15/2024
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