Individual
NOURHAN MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1209 W TARGET RANGE RD, NOGALES, AZ 85621-2466
(520) 281-1550
(520) 281-1112
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 281-1550
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
55841
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404238
—
AZ
Enumeration date
05/19/2014
Last updated
05/26/2022
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