Individual provider · Type 1 NPI
Wisam Hassan Ali Al Badr, MD
Critical Access Hospital · St. Louis, MO
NPI number
1710177480
Active
Practice location
3635 Grand Blvd
St. Louis, MO 63110-2539
Fax (314) 771-0784
Mailing address
9625 Chancelorsville Dr
St. Louis, MO 63126-3312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Access Hospital Primary | 282NC0060X | 2007008384 (MO) |
Critical Access Hospital: Definition to come.
About NPI 1710177480
Wisam Hassan Ali Al Badr, MD's National Provider Identifier is 1710177480, issued on Jul 30, 2007. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in St. Louis, MO. The record was last updated on Jul 30, 2007.