Individual
DR. MUSTAFA D.M NAZZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MLS, FACS
Contact information
Practice address
1225 S GRAND BLVD FL 3, SAINT LOUIS, MO 63104-1016
(314) 257-3760
(314) 257-3761
Mailing address
3635 VISTA AVE, FDT 11TH FLOOR, SAINT LOUIS, MO 63110-2539
(419) 508-6361
(314) 268-5400
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
2014026523
MO
208600000X
Surgery Physician
2014026523
MO
Other
Enumeration date
08/21/2008
Last updated
03/23/2021
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