Individual
MARK A HASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 WEBER RD, FARMINGTON, MO 63640-3325
(573) 701-7215
(573) 701-7117
Mailing address
4321 S COMPTON AVE, SAINT LOUIS, MO 63111-1131
(573) 701-7215
(573) 701-7117
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
101250
MO
Other
Enumeration date
05/17/2006
Last updated
03/17/2008
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