NIDAL BOUTROS

LEBANON, MO
NPI1629036173
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  2009027847)
Enumeration Date2006-05-03
Last Update Date2022-02-10
Business Address
Dr. NIDAL BOUTROS
120 HOSPITAL DR SUITE 300
LEBANON, MO 65536-9238
Phone number: 417-533-6746
Mailing Address
Dr. NIDAL BOUTROS
PO BOX 505164
SAINT LOUIS, MO 63150-5164
Phone number: 417-829-4620
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