Individual
DR. MICHAEL CIRIL GHASSIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 VIRGINIA AVENUE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
11277 VERNON PL, STE 200, MEADVILLE, PA 16335-3719
(814) 724-1252
(814) 333-8871
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2019009763
MO
Other
Enumeration date
03/26/2014
Last updated
05/26/2020
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