AMROU M ALI IDRIS

SPOKANE, WA
NPI1932528213
Other NameAMROU MOHAMMED OMER ALI IDRIS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: WA  MD60763663)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WA  MD60763663)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-15
Last Update Date2021-04-05
Business Address
AMROU M ALI IDRIS
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-3260
Mailing Address
AMROU M ALI IDRIS
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 509-474-3260