Individual
ALI HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 S. NATIONAL, 5TH FLOOR, SPRINGFIELD, MO 65807-5210
(417) 269-7728
(417) 269-7729
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012020489
MO
207R00000X
Internal Medicine Physician
T2009011772
MO
Other
Enumeration date
08/14/2009
Last updated
01/21/2013
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