Haissam Shiblak, RPH

NPI 1306986542 · on the registry since 2007

Practice

Address: 18495 E Queen Creek Rd
Queen Creek, AZ 85242
Phone: (480) 279-0521
Fax: (480) 279-5425
Organisation at this address: Safeway Inc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona