Ibrahim Moussaoui, DO

NPI #1548963671 in Blodgett, Oregon

Provider Information

NPI Number: 1548963671
Entity Type: Individual
Name: Ibrahim Moussaoui, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DO
Enumeration Date: Mar 27, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 4311 CLEM RD
City: Blodgett
State: Oregon
ZIP Code: 97326-9713
Phone: (575) 479-7004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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