Organization
YAM MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN JAFRI (OWNER/PROVIDER)
(314) 499-6060
Entity
Organization
Contact information
Practice address
12800 BOENKER LN, BRIDGETON, MO 63044-2438
(314) 499-6060
(312) 261-9222
Mailing address
12800 BOENKER LN, BRIDGETON, MO 63044-2438
(314) 499-6060
(312) 261-9222
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/04/2020
Last updated
02/12/2026
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