Ameesh Dara D.O.

NPI 1417367244 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1417367244
Gender Male
Enumeration Date 05/01/2014
Last Updated 05/01/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1402 S GRAND BLVD
FDT 14TH FLOOR
SAINT LOUIS MO, 63104-1004, US
Phone (314) 577-8762
Fax (314) 577-8100
Business Location
1234 LAY RD
SAINT LOUIS MO, 63124-1872, US
Phone (314) 569-9313
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Ameesh Dara D.O. NPI is 1417367244, taxonomy code is 390200000X Ameesh Dara D.O. physically located at 1402 S Grand Blvd, Saint Louis MO, 63104-1004. NPI Number Ameesh Dara D.O. has the Individual type.

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1417367244 NPI number is provided on an as is basis without warranty of any kind. 1417367244 is maintained by the National Plan & Provider Enumeration System. The contents of Ameesh Dara D.O. are for informational purposes only.