Individual
OMAR KUZEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
452 SOVEREIGN CT STE A, BALLWIN, MO 63011-4447
(314) 552-1976
Mailing address
520 S BRENTWOOD BLVD APT 2D, CLAYTON, MO 63105-2554
(314) 552-1976
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2016023342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048534
—
MO
Enumeration date
07/05/2012
Last updated
03/09/2023
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