Individual
MOHAMED AYMAN ABOUSETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5920 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-3516
(314) 389-5737
Mailing address
5920 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-3516
(314) 389-5737
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2023028530
MO
363A00000X
Physician Assistant
2023028530
MO
Other
Enumeration date
12/19/2023
Last updated
05/06/2024
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