Individual
DR. ISMAILA MUSA JIBRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-5588
(928) 639-5589
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37838
AZ
207R00000X
Internal Medicine Physician
PENDING
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349871
—
AZ
Enumeration date
03/29/2007
Last updated
04/20/2021
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