Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MUSTAFA MUHAMMAD IDRIS, DC
Active Sole ProprietorOrthopedic (Chiropractor) · REDMOND, WA
Registration Details
- NPI Number
- 1851635122
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2012 (13.402234112368 yrs)
- Last Updated
- Nov 26, 2012
- License
-
CH60261762 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3925 159TH AVE NEBUILDING 21REDMOND, WA, 980526309Browse WA providers · Browse ZIP 98052
- Phone
- 4252160550
- Fax
- 4252160552
- Primary Specialty
-
Orthopedic (Chiropractor)
111NX0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.