MOUSAB MOHAMMED IBRAHIM MOKHTAR

PUEBLO, CO
NPI1386365864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CO  DR.0075660)
Enumeration Date2022-09-05
Last Update Date2025-09-05
Business Address
-- MOUSAB MOHAMMED IBRAHIM MOKHTAR
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-544-1488
Mailing Address
-- MOUSAB MOHAMMED IBRAHIM MOKHTAR
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone number: