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SILVER NOAHSON MASABA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(314) 744-4100
Mailing address
230 SUMMIT AVE, WARSAW, NY 14569-9564
(585) 786-3779

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
203286
NY

Other

Enumeration date
05/31/2006
Last updated
07/08/2007
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