Individual
RAFI FASIHUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 760-8259
(573) 760-8259
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(573) 760-8259
(573) 705-1247
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
20250030175
MO
Other
Enumeration date
04/25/2022
Last updated
10/30/2025
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