Individual
MUJTABA A QAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1815 CLARKSON RD, CHESTERFIELD, MO 63017-5065
(636) 728-0111
(636) 728-0093
Mailing address
1815 CLARKSON ROAD, CHESTERFEILD, MO 63017
(636) 728-0111
(636) 728-0093
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1124010434
MO
Other
Enumeration date
08/22/2005
Last updated
08/11/2017
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