Individual
HOUSAM SOUKIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1513 UNION AVE, SUITE 1600, MOBERLY, MO 65270-9402
(660) 263-2400
(660) 263-5610
Mailing address
1513 UNION AVE, SUITE 1600, MOBERLY, MO 65270-9402
(660) 263-2400
(660) 263-5610
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
036-101288
IL
207RP1001X
Pulmonary Disease Physician
Primary
2014021757
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101288
—
IL
Enumeration date
03/23/2006
Last updated
08/27/2014
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