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Fayiz Mahgoub, OD
Student in an Organized Health Care Education/Training Program in Boulder, Colorado
NPI 1376202861

Fayiz Mahgoub is a Student in an Organized Health Care Education/Training Program based in Fort Collins, CO. Fayiz Mahgoub practices in Boulder, CO and has the professional credentials of OD. The NPI Number for Fayiz Mahgoub is 1376202861 and holds a License No. (Colorado).

The current practice location address for Fayiz Mahgoub is 5305 Spine Rd Ste B, Boulder, CO and can be reached out via phone at 970-402-5789.

Location: 5305 Spine Rd Ste B, Boulder, CO, 80526-2052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376202861
Provider Name
Fayiz Mahgoub
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
5305 Spine Rd Ste B, Boulder, CO, 80526-2052
Phone Number
970-402-5789
Fax Number
Provider Enumeration Date
12/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5305 Spine Rd Ste B
City
Boulder
State
Colorado
Zip
80301-3331
Phone Number
970-402-5789
Fax Number
person
Provider Business Mailing Address Details
Address
5305 Spine Rd Ste B
City
Boulder
State
Colorado
Zip
80301-3331
Phone Number
970-402-5789
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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