Whalio Doctors

NPI 1063658334

Steve Ibrahim DO PLLC

Organisation Skilled Nursing Facility Phoenix, AZ

Practice location

Address
4065 E Bell Rd, Phoenix, AZ 85032-2208
Phone
(602) 867-0212
Mailing address
20118 N 67th Ave, Glendale, AZ 85308-4621

Authorised official

Name
Steve Ibrahim
Title
Owner
Phone
(602) 361-3593

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 4396 (AZ)

Registry record

NPI
1063658334
Entity type
Organization
NPI issued
16 Dec 2008
Record last updated
16 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.