Individual
ATEF HAIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 617-3748
Mailing address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2024022078
MO
Other
Enumeration date
10/30/2019
Last updated
01/02/2025
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