Individual
DR. ALI MANSOUR EBRAHIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2873 S INGRAM AVE, SEDALIA, MO 65301-8480
(660) 826-0027
Mailing address
2873 S INGRAM AVE, SEDALIA, MO 65301-8480
(660) 826-0027
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101862
MO
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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