DERAR ZAKARYYA SHANWAN ALBASHAIREH

PUEBLO, CO
NPI1083902431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: CO  DR.0060690)
Additional Taxonomies207R00000X Internal Medicine
(Licence: LA  MD.207044)
207R00000X Internal Medicine
(Licence: MI  4301098836)
Enumeration Date2011-07-19
Last Update Date2018-09-10
Business Address
DERAR ZAKARYYA SHANWAN ALBASHAIREH M.B.B.S
3670 PARKER BLVD STE 101
PUEBLO, CO 81008-2285
Phone number: 719-562-2900
Mailing Address
DERAR ZAKARYYA SHANWAN ALBASHAIREH M.B.B.S
PO BOX 560825
DENVER, CO 80256-0825
Phone number: 719-595-7580