Individual
IRFAN YASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 S GRAND BLVD DEPT OF, SAINT LOUIS, MO 63104-1004
(314) 577-8694
(314) 577-8374
Mailing address
1402 S GRAND BLVD DEPT OF, SAINT LOUIS, MO 63104-1004
(314) 577-8694
(314) 577-8374
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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