Yazan A Abdalla M.D.

NPI 1033365358 - Internal Medicine - 207R00000X

NPI Details
NPI 1033365358
Gender Male
Enumeration Date 08/18/2008
Last Updated 08/11/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
10012 KENNERLY RD
SUITE 104
SAINT LOUIS MO, 63128-2197, US
Phone (314) 543-5911
Fax (314) 543-5914
Business Location
10012 KENNERLY RD
SUITE 104
SAINT LOUIS MO, 63128-2197, US
Phone (314) 543-5911
Fax (314) 543-5914
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 2007016056
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According to our database, Dr. Yazan A Abdalla M.D. NPI is 1033365358, taxonomy code is 207R00000X and license number is 2007016056, license state is located at Missouri. Yazan A Abdalla M.D. physically located at 10012 Kennerly Rd, Saint Louis MO, 63128-2197. NPI Number Yazan A Abdalla M.D. has the Individual type.

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1033365358 NPI number is provided on an as is basis without warranty of any kind. 1033365358 is maintained by the National Plan & Provider Enumeration System. The contents of Yazan A Abdalla M.D. are for informational purposes only.