Organization
MIDWEST MEDICAL PRACTITIONERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANISH A JABBAR MD (OWNER)
(636) 282-0380
Entity
Organization
Contact information
Practice address
120 BOYD ST, DESOTO, MO 63020
(636) 282-0380
(877) 592-0806
Mailing address
5000 CEDAR PLAZA PKWY STE 300, SAINT LOUIS, MO 63128-3891
(636) 282-0380
(877) 592-0806
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
02/11/2026
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