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1205904240
MOTI SALLOUM
COTTONWOOD, AZ
NPI
1205904240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AZ 31775)
Enumeration Date
2006-11-30
Last Update Date
2016-01-04
Business Address
-- MOTI SALLOUM MD
269 S CANDY LN
COTTONWOOD, AZ 86326-4158
Phone number: 928-639-5588
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Mailing Address
-- MOTI SALLOUM MD
1200 N BEAVER ST PAYER CREDENTIALING
FLAGSTAFF, AZ 86001-3118
Phone number: 928-773-2559
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