SHADI SUHAIL MUSTAFA

WATERLOO, IA
NPI1508356460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  R-11097)
Enumeration Date2018-05-16
Last Update Date2018-05-16
Business Address
SHADI SUHAIL MUSTAFA MD
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702-5047
Phone number: 319-272-2112
Mailing Address
SHADI SUHAIL MUSTAFA MD
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702-5047
Phone number: 319-272-2112