# SAAD M AL-SHATHIR MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215263421
- **Authorized official:** SAAD M AL-SHATHIR MD LLC (PHYSICIAN)
- **Authorized official phone:** (417) 782-4111

## Contact information

- **Practice address:** 2817 MCCLELLAND BLVD, STE 129, JOPLIN, MO 64804-1629
- **Practice address phone:** (417) 782-4111
- **Practice address fax:** (417) 660-4478
- **Mailing address:** 2817 MCCLELLAND BLVD, STE 129, JOPLIN, MO 64804-1629
- **Mailing address phone:** (417) 782-4111
- **Mailing address fax:** (417) 660-4478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | R6423 | MO | Yes |

## Other

- **Enumeration date:** 10/22/2009
- **Last updated:** 10/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200112407 | — | MO |