Individual provider · NPI-1

Martin Mazen Anbari, M.D.

Radiology, Vascular & Interventional Radiology · Springfield, MO

NPI number1083674667
StatusActive
Last updated in NPPESMar 22, 2018

Details

NPI
1083674667
Entity type
Individual (NPI-1)
Name
Martin Mazen Anbari
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2006
Last updated
Mar 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional Radiology103662MOYes
2085R0202X Radiology, Diagnostic Radiology103662MO

Practice location

3801 S National Ave
Springfield, MO 65807-5210

Phone 417-269-4056 · Fax 417-269-5556

Mailing address

Po Box 9007
Springfield, MO 65808-9007

Phone 417-875-3462

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