NPI 1154853513

Tarik Kavazovic

Practitioner Prevention Professional Saint Louis, MO

Practice location

Address: 5204 Sir Bors Dr APT 3, Saint Louis, MO 63129-1448
Phone: (314) 203-7637

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 2016037429 (MO)

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Registry record

NPI: 1154853513
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2017
Record last updated: 3 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.