Individual
NAILA ASHRAF TARIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 HANCOCK RD, SUITE # B, BULLHEAD CITY, AZ 86442-5948
(928) 758-0183
(928) 758-6665
Mailing address
1225 HANCOCK RD, SUITE # B, BULLHEAD CITY, AZ 86442-5948
(928) 758-0183
(928) 758-6665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31594
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788531
—
AZ
Enumeration date
09/20/2006
Last updated
07/08/2007
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