Individual
BACHIR ZOGHBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4056
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
2016023603
MO
2085N0700X
Neuroradiology Physician
37337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034446
—
MO
Enumeration date
07/16/2014
Last updated
08/21/2020
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