Individual
TARIK KAVAZOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5204 SIR BORS DR APT 3, SAINT LOUIS, MO 63129-1448
(314) 203-7637
Mailing address
5204 SIR BORS DR APT 3, SAINT LOUIS, MO 63129-1448
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
2016037429
MO
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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