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1134127947
IMAD A.R. IDRISS
LAS CRUCES, NM
NPI
1134127947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: NM 7841)
Enumeration Date
2005-07-14
Last Update Date
2008-10-31
Business Address
Dr. IMAD A.R. IDRISS M.D.
2427 S TELSHOR BLVD
LAS CRUCES, NM 88011-5049
Phone number: 575-522-1059
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Mailing Address
Dr. IMAD A.R. IDRISS M.D.
2427 S TELSHOR BLVD
LAS CRUCES, NM 88011-5049
Phone number: 575-522-1059
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