Organization
IQBAL M MIRZA MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IQBAL MIRZA MD (OWNER)
(831) 624-5311
Entity
Organization
Contact information
Practice address
23625 HOLMAN HWY, MONTEREY, CA 93940-5902
(831) 624-5311
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
G82045
CA
Other
Enumeration date
06/27/2008
Last updated
11/19/2008
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