Organization
PRIME TIME PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYAAZ HABIBULLAH MD (OWNER)
(573) 268-5725
Entity
Organization
Contact information
Practice address
217 W REED ST, STE A5, MOBERLY, MO 65270
(573) 268-5725
(877) 673-1509
Mailing address
1605 KEEGAN CT, COLUMBIA, MO 65203-6252
(573) 268-5725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
09/23/2024
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