Ibrahim S Umar M P C
Ibrahim S Umar M P C is a Primary Care Clinic/Center in Saint Peters, Missouri. Licensed in Missouri. Registered with an NPI since 2012.
- Licensed in
- MO
- In the registry since
- 2012
Practice location Address checks out
4200 N Cloverleaf Dr Ste NSaint Peters, MO 63376-6436
Phone: (636) 922-9182
Fax: (636) 922-9183
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Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence R8426 (MO) |
|---|
Record details
| NPI number | 1538439435 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ibrahim Umar — President · (636) 922-9182 |
| NPI enumerated | January 9, 2012 |
| Last updated in NPPES | May 22, 2012 |
| Mailing address | 4200 N Cloverleaf Dr, Suite N, Saint Peters, MO 63376-6436 |
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