Individual
MAHDI MUHTADI EL JALLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 747-2178
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 747-2178
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2019023456
MO
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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