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Individual

JOAN AZOURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751
Mailing address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0116029541
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
2019043574
MO

Other

Enumeration date
06/14/2016
Last updated
02/05/2021
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