Organization
IMPACT PHYSICIAN GROUP, MISSOURI PULMONARY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMRAN R QURAISHI MD (OWNER)
(502) 345-1561
Entity
Organization
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9700
Mailing address
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269-1546
(678) 967-5599
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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