Individual
ANJUM RAZZAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2630 HIGHWAY K, O FALLON, MO 63368-6624
(636) 980-5300
Mailing address
20 CLAYTON TER, SAINT LOUIS, MO 63131-2918
(314) 989-0833
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R7P08
MO
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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