Individual
HASAAN OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
Mailing address
1402 S GRAND BLVD RM M260, ATTN: ROSIE WILLIAMS, SAINT LOUIS, MO 63104-1004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2023011899
MO
390200000X
Student in an Organized Health Care Education/Training Program
MT226137
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/06/2022
Last updated
03/20/2024
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