JEFFERSON PHYSICIAN NETWORK, LLC
Organization (NPI-2)
Active
Provider Information
- NPI Number
1558508606- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1400 HIGHWAY 61 SUITE 240, FESTUS, MO, 630284100
- Phone
- (636) 931-4002
Specialties & Taxonomies
Unknown
Primary License: MO #2007029096
All Addresses
MAILING
1400 US HIGHWAY 61
FESTUS, MO, 630284100