Omar W Jassim

NPI Registration Record

Provider / Organization	NPI	Date Certified
OMAR W JASSIM	1649397415	2023-11-10

Omar W Jassim is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649397415. Registration indicates Omar W Jassim is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Dermatology (Dermatology: MOHS-Micrographic Surgery, ) (Specialist Network, ) (Dermatology MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians) (Dermatology, ) (Allopathic & Osteopathic Physicians, Dermatology) (Dermatology: Dermatopathology, ) (Specialist Network, ) (Dermatology Dermatopathology, Allopathic & Osteopathic Physicians) (Dermatology, ) (Dermatology, ) (Allopathic & Osteopathic Physicians, Dermatology) (Specialist Network, ) (Dermatology, Allopathic & Osteopathic Physicians)

Registration	PART-B:Y DME:Y HHA:Y PMD:Y
Entity Type	Individual
Provider Name	Dr. Omar W Jassim MD, PHD
Practice Office Address	1060 MEYER RD WENTZVILLE, MO US
Practice Office Telephone	3142301500
Practice Office Fax	3142301122
Mailing Address	1060 MEYER RD WENTZVILLE, MO 633853800 US
Business Telephone	3142301500
Business Fax	3142301122

Offices / Locations

Address	City / State	Phone / Fax
1060 Meyer Rd	Wentzville, MO 633853800	3142301500 / 3142301122

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