Individual
DR. SAMI KHOSHYOMN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1965 S FREMONT AVE, SUITE 130, SPRINGFIELD, MO 65804-2201
(417) 820-5150
(417) 820-5155
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2005000362
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207309600
—
MO
Enumeration date
06/16/2006
Last updated
05/13/2013
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