Imad Idriss MD PA
NPI #1083879217 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1083879217
- Entity Type
- Organization
- Organization Name
- Imad Idriss MD PA
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Jul 28, 2008
- Last Updated
- Jul 28, 2008
Practice Location
- Address
- 2427 S TELSHOR BLVD
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-5049
- Phone
- (575) 522-1059
Authorized Official
- Name
- DR. IMAD IDRISS
- Title
- PRESIDENT
- Phone
- (575) 522-1059
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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