Individual
MENA MAHER TAWFIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 N GRAND AVE STE 150, PUEBLO, CO 81003-2755
(719) 595-7680
(719) 595-7589
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 595-7585
(719) 595-7589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR0071714
CO
207RG0100X
Gastroenterology Physician
TL.0008372
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0008372
CO
Other
Enumeration date
04/17/2020
Last updated
01/31/2024
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