SHADY HAWATMEH

SAINT LOUIS, MO
NPI1922498617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  2017022834)
Enumeration Date2015-02-02
Last Update Date2019-04-04
Business Address
SHADY HAWATMEH
621 S NEW BALLAS RD STE 112A
SAINT LOUIS, MO 63141-8252
Phone number: 314-251-6339
Mailing Address
SHADY HAWATMEH
9429 CADDYSHACK CIR
SAINT LOUIS, MO 63127-1937
Phone number:
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