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Individual

ARIAN JAHANSOUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 HOSPITAL DR EMERGENCY MEDICINE M562 DC029.10, COLUMBIA, MO 65212-0001
(573) 884-4400
Mailing address
1 HOSPITAL DR EMERGENCY MEDICINE M562 DC029.10, COLUMBIA, MO 65212-0001
(573) 884-4400

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020015490
MO

Other

Enumeration date
06/22/2020
Last updated
06/22/2020
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