ALAA BOU GHANNAM

AURORA, CO
NPI1508241209
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207W00000X Ophthalmology
(Licence: CO  TL.0005920)
Additional Taxonomies207W00000X Ophthalmology
(Licence: DC  MTL002799)
207W00000X Ophthalmology
(Licence: VA  0116028520)
Enumeration Date2015-07-23
Last Update Date2016-06-30
Business Address
-- ALAA BOU GHANNAM M.D.
13001 E 17TH PL
AURORA, CO 80045-2570
Phone number: 303-724-5000
Mailing Address
-- ALAA BOU GHANNAM M.D.
2131 LAWRENCE ST APT 606
DENVER, CO 80205-2896
Phone number: 202-531-5858