Organization
MADAD ALI, MD
Active
Other names
Alfa Digestive Disease Center
Organization subpart
No
Provider details
NPI number
Authorized official
MADAD ALI MD (PHYSICIAN)
(573) 785-7475
Entity
Organization
Contact information
Practice address
2520 LUCY LEE PKWY, POPLAR BLUFF, MO 63901-2436
(573) 785-7475
(573) 785-6555
Mailing address
PO BOX 216, POPLAR BLUFF, MO 63902-0216
(573) 785-7475
(573) 785-6555
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2002027101
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060127010
—
MO
Enumeration date
03/12/2008
Last updated
03/12/2008
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