Individual
MONA H. AFRASSIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
54 HOSPITAL DR, SUITE 201, OSAGE BEACH, MO 65065-3050
(573) 302-2764
(573) 302-2767
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO102422
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679572119
—
MO
Enumeration date
07/18/2005
Last updated
02/09/2018
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