Individual
MR. MUSTAFA MOHAMMED ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12254 E ARIZONA AVE, AURORA, CO 80012
(720) 325-8694
Mailing address
12254 E ARIZONA AVE, AURORA, CO 80012-4318
(720) 325-8694
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
20151797380
CO
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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