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NPI Code Detail

MEDICARE: DR. MIREILLE JABROUN MD

MEDICARE:  DR. MIREILLE  JABROUN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician Physician63280AZ

General Provider Information

NPI Number : 1942780267
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIREILLE JABROUN MD
Provider Business Mailing Address
First Line : 707 N ALVERNON WAY STE 301
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1848
Country : US
Telephone Number : 520-874-5581
Fax Number :
Provider Business Practice Location Address
First Line : 707 N ALVERNON WAY STE 301
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1848
Country : US
Telephone Number : 520-694-1460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2018
Last Update Date : 12/07/2021

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Directions to “ DR. MIREILLE JABROUN MD” Practice Location

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