Mustafa Faisal Mustafa Douglas, MD
Hospitalist in Sierra Vista, AZ. Individual provider (NPI-1).
NPI number1164032447
StatusActive
Last updated in NPPESAug 3, 2023
Details
- NPI
- 1164032447
- Entity type
- Individual (NPI-1)
- Name
- Mustafa Faisal Mustafa Douglas
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2020
- Certification date
- Aug 3, 2023
- Last updated
- Aug 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | A185288 | CA | Yes |
| 207R00000X | Internal Medicine | R78390 | AZ |
Practice location
5700 E Highway 90Sierra Vista, AZ 85635-9110
Phone 520-263-3190
Mailing address
289 S Highway 92 Apt 1201Sierra Vista, AZ 85635-3679
Phone 312-978-0764
Other practice locations
2700 Dolbeer St
Eureka, CA 95501-4736
Eureka, CA 95501-4736
Phone 707-269-4253
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