Individual
DR. YAQOOB ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 MARTIN SPRINGS DR, SUITE 150, ROLLA, MO 65401-2931
(573) 458-6379
(573) 458-6698
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2005035241
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
# PENDING
—
MO
Enumeration date
06/30/2006
Last updated
09/30/2009
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