Individual
HUSAM T NAWAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12855 NORTH FORTY DRIVE, SUITE 125, NORTH TOWER, ST. LOUIS, MO 63141
(314) 966-0111
(314) 966-2810
Mailing address
12813 FLUSHING MEADOWS DR, SUITE 210, SAINT LOUIS, MO 63131-1835
(314) 966-0111
(314) 966-2810
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2011005780
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2011005780
MO
Other
Enumeration date
07/31/2007
Last updated
11/17/2011
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