Individual
DR. TAREQ M. ABU SALAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 EAST BROADWAY, SUITE 280, COLUMBIA, MO 65201-7185
(573) 815-7118
(573) 815-7116
Mailing address
1705 EAST BROADWAY, SUITE 280, COLUMBIA, MO 65201-7185
(573) 815-7118
(573) 815-7116
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2009010821
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008188
—
MO
Enumeration date
04/26/2006
Last updated
07/22/2020
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