Individual
HASSAN DAWOUD ELSIDDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3660 VISTA AVE # 204, SAINT LOUIS, MO 63110-2540
(314) 977-8462
(314) 771-8575
Mailing address
1083 RUE LA VILLE WALK, SAINT LOUIS, MO 63141-6272
(314) 542-2501
(314) 771-8575
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2005027548
PA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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