Individual
DR. MANZOOR AHMAD TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1071 AIRPORT ROAD, FESTUS, MO 63028
(636) 931-7111
(636) 937-7486
Mailing address
1071 AIRPORT ROAD, FESTUS, MO 63028
(636) 931-7111
(636) 937-7486
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
100167
MO
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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