Individual
IQRA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2415 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63113
(314) 367-1083
Mailing address
31 SUNNEN DR APT 410, SAINT LOUIS, MO 63143-3835
(469) 785-1217
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2018008808
MO
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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