Individual
DR. ABDULMUTTALEB HUSSIN AL SOUFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-7100
Mailing address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-14429
AR
Other
Enumeration date
04/06/2018
Last updated
04/04/2024
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