Most Relevant Information
Provider Data
| NPI Number: | 1003064635 |
| Provider Name: | HALA YAMOUT M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 2008015354 |
Most Important Dates
| Enumeration Date: | 09/08/2008 |
| Last Updated: | 09/08/2008 |
Provider Practice Location
1402 S GRAND BLVD
M260
SAINT LOUIS
MO
631041004
Practice Location Phone/Fax
| Phone: | 3149779853 |
| Fax: |
Provider Mailing Location
18 S KINGSHIGHWAY BLVD
APT 8U
SAINT LOUIS
MO
631081356
Provider Mailing Phone/Fax
| Phone: | 3146050858 |
| Fax: |