Individual
CLAUDINE MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4550
Mailing address
1000 E PRIMROSE ST STE 520, SPRINGFIELD, MO 65807-5180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2007018021
MO
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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