IDRIS A IDRIS

GLENDALE, AZ
NPI1710545355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  f01190538)
Enumeration Date2019-05-30
Last Update Date2019-07-22
Business Address
IDRIS A IDRIS NP
3515 W UNION HILLS DR STE 111
GLENDALE, AZ 85308-2430
Phone number: 623-328-8630
Mailing Address
IDRIS A IDRIS NP
3515 W UNION HILLS DR STE 111
GLENDALE, AZ 85308-2430
Phone number: 623-328-8630
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