Individual
DR. OMAR W JASSIM
Active
Individual
DR. OMAR W JASSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2010011911
MO
207ND0101X
MOHS-Micrographic Surgery Physician
2010011911
MO
207ND0900X
Dermatopathology Physician
2010011911
MO
Other
Enumeration date
03/24/2007
Last updated
04/25/2024
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