Individual
DR. MOHAMMED HAIDER ALDAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(816) 214-5548
Mailing address
8 N KEENE ST APT 73, COLUMBIA, MO 65201-6600
(402) 419-9576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019046478
MO
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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