Individual
MEHDI M TAJOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-2273
(417) 269-8851
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014022160
MO
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
2014022160
MO
Other
Enumeration date
06/27/2013
Last updated
04/13/2023
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