Individual
DR. OSSAMA AL-ASSAFEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 HOSPITAL DR, SUITE 300, LEBANON, MO 65536-9238
(417) 533-6746
(417) 533-6740
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2003010407
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208826008
—
MO
Enumeration date
11/13/2006
Last updated
01/20/2022
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