Individual
MARIO FAHMY BISHARA SEMAAN FADILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.CH.B.
Contact information
Practice address
ONE HOSPITAL DRIVE, DC043.00, COLUMBIA, MO 66212
(573) 882-0808
(573) 882-8788
Mailing address
16222 W US HIGHWAY 24 STE 210, WOODLAND PARK, CO 80863-8763
(719) 686-2832
(719) 686-2833
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
DR.0058664
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2012
Last updated
05/08/2019
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