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Individual

SOBHI GHEATH KAZMOUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-2603
(309) 569-6173
Mailing address
2157 W 18TH PL APT 2R, CHICAGO, IL 60608-2603

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2025023829
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/11/2024
Last updated
06/20/2025
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