Individual
DR. WASSIM MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHCM
Contact information
Practice address
1008 S SPRING AVE RM 1114, SAINT LOUIS, MO 63110-2520
(314) 977-4102
Mailing address
1008 S SPRING AVE RM 1114, SAINT LOUIS, MO 63110-2520
(314) 977-4102
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4351044074
MI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2022040004
MO
Other
Enumeration date
08/17/2019
Last updated
10/20/2022
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