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Organization

FARIS AL-GEBORY MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FARIS AL-GEBORY M.D. (OWNER/PRESIDENT)
(636) 717-1700
Entity
Organization

Contact information

Practice address
1011 BOWLES AVE, SUITE 415, FENTON, MO 63026-2395
(636) 717-1700
Mailing address
11517 TIVOLI LN, SAINT LOUIS, MO 63146-3539
(636) 717-1700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2008032789
MO

Other

Enumeration date
12/29/2009
Last updated
12/29/2009
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