person
Mirko Omid Mostaghimi, DO
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1043905177

Mirko Omid Mostaghimi is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. Mirko Omid Mostaghimi practices in Phoenix, AZ and has the professional credentials of DO. The NPI Number for Mirko Omid Mostaghimi is 1043905177 and holds a License No. (Arizona).

The current practice location address for Mirko Omid Mostaghimi is 1300 N 12Th St Ste 508, Phoenix, AZ and can be reached out via phone at 602-839-3927.

Location: 1300 N 12Th St Ste 508, Phoenix, AZ, 85006-2849
person
Provider Profile Details
NPI Number
1043905177
Provider Name
Mirko Omid Mostaghimi
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1300 N 12Th St Ste 508, Phoenix, AZ, 85006-2849
Phone Number
602-839-3927
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 N 12Th St Ste 508
City
State
Zip
85006-2849
Phone Number
602-839-3927
Fax Number
person
Provider Business Mailing Address Details
Address
1300 N 12Th St Ste 508
City
State
Zip
85006-2849
Phone Number
602-839-3927
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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