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Individual

AHLAM ELBADRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2115 S FREMONT AVE STE 2300, SPRINGFIELD, MO 65804-2233
(417) 820-5600
Mailing address
2115 S FREMONT AVE STE 2300, SPRINGFIELD, MO 65804-2233
(417) 820-5600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017043198
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/15/2014
Last updated
02/09/2018
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