Individual
DR. MAISA A NAZZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 OLD BALLAS RD STE 104, SAINT LOUIS, MO 63141-7083
(314) 993-4949
(314) 993-4945
Mailing address
PO BOX 315, BALLWIN, MO 63022-0315
(419) 508-6851
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036147677
IL
207RN0300X
Nephrology Physician
Primary
2016012961
MO
207RN0300X
Nephrology Physician
29008
OK
207RN0300X
Nephrology Physician
E7470
AR
Other
Enumeration date
08/01/2008
Last updated
11/03/2025
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