AHMAD BASHIRIMOGHADDAM DO
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1487144457- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 1200 COLLEGE DR, ROCK SPRINGS, WY, 829015868
- Phone
- (307) 352-8320
- Fax
- (307) 352-5345
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Internal Medicine
License: WY #TL7240
Internal Medicine
Primary License: WY #14727A