FARID J AZZAM

SAINT LOUIS, MO
NPI1275558082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MO  R9303)
Enumeration Date2006-07-13
Last Update Date2008-03-18
Business Address
-- FARID J AZZAM MD
3635 VISTA AVE
SAINT LOUIS, MO 63110-2539
Phone number: 314-577-8750
Mailing Address
-- FARID J AZZAM MD
3691 RUTGER ST PROVIDER ENROLLMENT
SAINT LOUIS, MO 63110-2515
Phone number: 314-977-4440
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