Individual
MARIUM IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 CALEDONIA PKWY STE 150, O FALLON, MO 63368-6690
(636) 202-6802
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6680
(270) 825-7266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6258
KY
207Q00000X
Family Medicine Physician
Primary
R6258
MO
Other
Enumeration date
04/13/2022
Last updated
04/29/2026
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