Individual
DR. ELIAS GHOSSOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1438 S GRAND BLVD RM 7, SAINT LOUIS, MO 63104-1027
(314) 977-4826
(314) 977-1099
Mailing address
1438 S GRAND BLVD RM 7, SAINT LOUIS, MO 63104-1027
(314) 977-4826
(314) 977-1099
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
2017018863
MO
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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