Individual
MOHANNAD AL-SAMARRAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3215 WINGATE CT, SUITE 102, COLUMBIA, MO 65201-7214
(573) 882-8920
(573) 884-4868
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 882-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2017029105
MO
207W00000X
Ophthalmology Physician
L2316364
MI
Other
Enumeration date
02/21/2013
Last updated
02/21/2018
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