SHAHLA FOROOTAN

PRESCOTT, AZ
NPI1811341183
Professional NameSHAHLA FOROOTAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: AZ  15747)
Enumeration Date2016-04-22
Last Update Date2016-04-22
Business Address
-- SHAHLA FOROOTAN M.D.
34 N FRENCH PL
PRESCOTT, AZ 86303-6257
Phone number: 928-778-4629
Mailing Address
-- SHAHLA FOROOTAN M.D.
34 N FRENCH PL
PRESCOTT, AZ 86303-6257
Phone number: 928-778-4629