Organization
PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAEEM ASLAM MD (SOLE MEMBER)
(917) 336-8422
Entity
Organization
Contact information
Practice address
1301 YMCA DR STE 600, FESTUS, MO 63028-2608
(901) 603-7510
Mailing address
1301 YMCA DR STE 600, FESTUS, MO 63028-2608
(901) 603-7510
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
11/15/2021
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