Individual
DR. AHMAD IBRAHIM IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1703 W BETHANY HOME RD STE C3, PHOENIX, AZ 85015-7066
(602) 944-2444
Mailing address
8050 S POINTE PKWY W APT 1059, PHOENIX, AZ 85044-5419
(734) 546-3336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002253
AZ
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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