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DR. YAQOOB ALI M.D.

Hematology & Oncology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1477582799

Individual Registrant:
DR. YAQOOB  ALI M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1605 MARTIN SPRINGS DR SUITE 150 ROLLA, MO 65401-2931 US
Tel: 573-458-6379  Fax: 573-458-6698

Contact information for business:
PO BOX 2580  SPRINGFIELD, MO 65801-2580 US
Tel: 417-829-4620  Fax: 417-829-4316

Registration Information:
NPI: 1477582799
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RH0003XAllopathic & Osteopathic Physicians
Internal Medicine
Hematology & Oncology
MO2005035241

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
# PENDINGMO05




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