Organization
OZARK RURAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARFARAZ JASDANWALA (MD)
(312) 953-5636
Entity
Organization
Contact information
Practice address
1003 HAUCK DR, ROLLA, MO 65401-2584
(312) 953-5636
Mailing address
1003 HAUCK DR, ROLLA, MO 65401-2584
(312) 953-5636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
11/03/2023
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