Individual
MEHRUNISSA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
616 BURKARTH RD, WARRENSBURG, MO 64093-1462
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
108420
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204666705
—
MO
Enumeration date
12/16/2005
Last updated
04/22/2019
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