Individual
MHD DAGHOSTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
23 BAXTER LN, CHESTERFIELD, MO 63017-4907
(407) 486-6825
Mailing address
23 BAXTER LN, CHESTERFIELD, MO 63017-4907
(407) 486-6825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
03/03/2022
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