Individual
DR. BASSEL JALLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
3655 VISTA AVE, WEST PAVILION, SAINT LOUIS, MO 63110-2539
(314) 268-7109
Mailing address
223 CLAYTON TRAILS DR, ELLISVILLE, MO 63011-2013
(708) 890-6674
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2014031104
MO
Other
Enumeration date
07/16/2008
Last updated
03/14/2017
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