Individual
DR. ANISA HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3315 MCINTOSH CIR, JOPLIN, MO 64804-3649
(417) 347-4000
(417) 347-4064
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4000
(417) 347-4064
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
104713
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100185740A
—
KS
05
—
2046421102
—
MO
05
—
208061416
—
MO
Enumeration date
08/21/2006
Last updated
04/12/2011
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