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NPI Code Detail

MEDICARE: ALROMESA MOHAMED

MEDICARE: ALROMESA MOHAMED
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
1172A00000XDriver

General Provider Information

NPI Number : 1811218522
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALROMESA MOHAMED
Provider Business Mailing Address
First Line : 2816 N SPARKMAN BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1943
Country : US
Telephone Number : 520-891-0528
Fax Number : 520-908-7316
Provider Business Practice Location Address
First Line : 2816 NORTH SPARKMAN BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1943
Country : US
Telephone Number : 520-891-0528
Fax Number : 520-908-7316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2010
Last Update Date : 06/16/2010

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Directions to “ ALROMESA MOHAMED ” Practice Location

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