Organization
SAAD M AL-SHATHIR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAAD M AL-SHATHIR MD LLC (PHYSICIAN)
(417) 782-4111
Entity
Organization
Contact information
Practice address
2817 MCCLELLAND BLVD, STE 129, JOPLIN, MO 64804-1629
(417) 782-4111
(417) 660-4478
Mailing address
2817 MCCLELLAND BLVD, STE 129, JOPLIN, MO 64804-1629
(417) 782-4111
(417) 660-4478
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R6423
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112407
—
MO
Enumeration date
10/22/2009
Last updated
10/22/2009
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