Shahla Forootan, M.D.

NPI #1811341183 in Prescott, Arizona

Provider Information

NPI Number
1811341183
Entity Type
Individual
Name
Shahla Forootan, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Primary Care
Credential
M.D.
Enumeration Date
Apr 22, 2016
Last Updated
Apr 22, 2016

Practice Location

Address
34 N FRENCH PL
State
Arizona
ZIP Code
86303-6257
Phone
(928) 778-4629

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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