NPI 1063143394
Delick Mutabazi
Practice location
- Address
- 9159 W Glenrosa Ave, Phoenix, AZ 85037-0812
- Phone
- (240) 491-6773
Registered specialties
Driver
Primary
Registry record
- NPI
- 1063143394
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Jun 2022
- Record last updated
- 17 Jun 2022
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.