Individual
DR. MUSTAFA MUHAMMAD IDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3925 159TH AVE NE, BUILDING 21, REDMOND, WA 98052-6309
(425) 216-0550
(425) 216-0552
Mailing address
18525 NE 58TH CT, APT N2105, REDMOND, WA 98052-6708
(425) 638-3092
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH60261762
WA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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