NPI

Wogene Amsalu

NPI 1184091431

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2015-08-21
Last updated
2022-05-11

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Specialties

Licenses

License MO
2002031108
License MO
2018001284

Location

Practice location
9628 Midland Blvd
City
Overland MO
Postal code
63114-3357
Phone
(314) 779-6022

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Overland, MO. 156 records in the public file.

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