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Individual

JAREER OTHMAN BAKER FARAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1225 GRAHAM RD STE C-2310, FLORISSANT, MO 63031-8023
(314) 953-6300
Mailing address
1225 GRAHAM RD STE C-2310, FLORISSANT, MO 63031-8023
(314) 953-6300

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036142073
IL
207RC0000X
Cardiovascular Disease Physician
2016038585
MO
207RI0011X
Interventional Cardiology Physician
036-142073
IL
207RI0011X
Interventional Cardiology Physician
Primary
2016038585
MO

Other

Enumeration date
03/13/2008
Last updated
11/23/2021
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