Individual
ANIS S NASSIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3635 VISTA, ST LOUIS, MO 63110
(314) 268-5783
(314) 268-5116
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2001022832
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2001022832
MO
2085R0204X
Vascular & Interventional Radiology Physician
2001022832
MO
Other
Enumeration date
07/20/2006
Last updated
03/18/2008
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