| Mazen Mohamed Ibrahim Ibrahim, MD PHD | |
|
181 W Meadow Dr, Vail, CO 81657-5242 | |
| (970) 479-7203 | |
| (970) 479-7282 |
| Full Name | Mazen Mohamed Ibrahim Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery |
| Location | 181 W Meadow Dr, Vail, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407685621 | NPI | - | NPPES |
| Entity Name | Steadman Clinic Professional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952327835 PECOS PAC ID: 7719876226 Enrollment ID: O20040312000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Mazen Mohamed Ibrahim Ibrahim, MD PHD 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 Ph: (970) 479-7203 | Mazen Mohamed Ibrahim Ibrahim, MD PHD 181 W Meadow Dr, Vail, CO 81657-5242 Ph: (970) 479-7203 |
Randall W Viola, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 181 W Meadow Dr, Suite 400, Vail, CO 81657 Phone: 970-476-1100 | |
Colby Wollenman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 181 W Meadow Dr Ste 400, Vail, CO 81657 Phone: 970-476-1100 | |
Charles Lin, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 181 W Meadow Dr Ste 400, Vail, CO 81657 Phone: 970-476-1100 | |
Scott R Montgomery, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 181 W Meadow Dr, Suite 400, Vail, CO 81657 Phone: 970-476-1100 | |
Dr. Justin J Ernat, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 181 W Meadow Dr, Vail, CO 81657 Phone: 970-476-1100 | |
Thomas O. Clanton, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 181 W Meadow Dr, Suite 400, Vail, CO 81657 Phone: 970-476-1100 | |
Monica Arney, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 181 W Meadow Dr Ste 1000, Vail, CO 81657 Phone: 605-808-1472 Fax: 312-281-9135 |