Doctor Name: | YOUSSEF ASSIOUN |
NPI Number: | 1639370919 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 2005018776 |
Business Practice Address: | 1400 Us Highway 61 Suite 250 Festus, MO - 630284100 |
Business Phone Number: | 6369378675 |
Business Fax Number: | 6369337981 |
Mailing Address: | 1400 Us Highway 61, Suite 250 FESTUS |
State: | MO |
Postal Code: | 630284100 |
Phone Number: | 6369378675 |
Fax Number: | 6369337981 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 2005018776 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |