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Individual

MR. TARIQ JAWAID ALAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FAAN

Contact information

Practice address
1400 US HIGHWAY 61, SOUTH, SUITE 120, FESTUS, MO 63028
(636) 933-8270
(636) 933-1233
Mailing address
1400 US HIGHWAY 61, SOUTH, SUITE 120, FESTUS, MO 63028
(636) 933-8270
(636) 933-1233

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2012015951
MO
2084N0400X
Neurology Physician
74608
WI

Other

Enumeration date
10/16/2007
Last updated
04/05/2023
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