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Organization

OZARK RURAL HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARFARAZ ABDEALI JASDANWALA MD (OWNER/CEO)
(312) 953-5636
Entity
Organization

Contact information

Practice address
3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
(312) 953-5636
Mailing address
17781 HORNBEAN DR, WILDWOOD, MO 63005-4229
(312) 953-5636

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/10/2022
Last updated
10/10/2022
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