MIKEL DASHTIPOUR

SPRINGFIELD, MO
NPI1215495650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2019007281)
Enumeration Date2019-03-05
Last Update Date2019-03-05
Business Address
MIKEL DASHTIPOUR PA
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807-5155
Phone number: 417-875-3000
Mailing Address
MIKEL DASHTIPOUR PA
PO BOX 9007
SPRINGFIELD, MO 65808-9007
Phone number: 417-875-3000
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