Organization
IBRAHIM S UMAR M P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM SULEMAN UMAR M.D. (PRESIDENT)
(636) 922-9182
Entity
Organization
Contact information
Practice address
4200 N CLOVERLEAF DR, SUITE N, SAINT PETERS, MO 63376-6436
(636) 922-9182
(636) 922-9183
Mailing address
4200 N CLOVERLEAF DR, SUITE N, SAINT PETERS, MO 63376-6436
(636) 922-9182
(636) 922-9183
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R8426
MO
Other
Enumeration date
01/09/2012
Last updated
05/22/2012
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