Individual
DR. IBRAHEEM M MIZYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1871 W ORANGE GROVE RD STE 101, TUCSON, AZ 85704-1289
(520) 219-8342
(520) 219-7717
Mailing address
1871 W ORANGE GROVE RD STE 101, TUCSON, AZ 85704-1289
(520) 219-8342
(520) 219-7117
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
40955
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365127
—
AZ
Enumeration date
05/30/2007
Last updated
09/13/2021
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