Individual
WADDAH MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 S MONACO PKWY UNIT 63, DENVER, CO 80224-1636
(720) 931-1622
Mailing address
1050 S MONACO PKWY UNIT 63, DENVER, CO 80224-1636
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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