Individual
ALI AYMAN JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD, ROOM 1204, SAINT LOUIS, MO 63104
(314) 577-5600
(314) 577-5616
Mailing address
1465 S GRAND BLVD, ROOM 1204, SAINT LOUIS, MO 63104-1003
(314) 577-5600
(314) 577-5616
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2018014208
MO
Other
Enumeration date
04/09/2012
Last updated
07/12/2018
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