Individual
JAMIL DARROUJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3231 S NATIONAL AVE, SUITE 240, SPRINGFIELD, MO 65807-7304
(417) 888-5696
(417) 888-6711
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008028523
MO
207RP1001X
Pulmonary Disease Physician
Primary
2008028523
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326275868
—
MO
05
—
178242001
—
AR
01
—
431560263
TRICARE WEST
—
01
—
P00735775
RAILROAD MEDICARE
—
Enumeration date
06/11/2009
Last updated
11/29/2021
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