Organization
WAQAR ULISLAM MIRZA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA FLEMING (BILLING OFFICE)
(314) 628-1408
Entity
Organization
Contact information
Practice address
12277 DE PAUL DR, SUITE 401, BRIDGETON, MO 63044-2516
(314) 628-1408
Mailing address
PO BOX 844010, KANSAS CITY, MO 64184-4010
(314) 628-1408
(314) 336-0562
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R4N72
MO
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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