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Jefferson Physician Network, Llc
Vascular Surgery Physician in Festus, Missouri
NPI 1558508606

Jefferson Physician Network, Llc is a Vascular Surgery Physician based in Festus, MO and is specialized in Vascular Surgery. Jefferson Physician Network, Llc practices in Festus, MO. The NPI Number for Jefferson Physician Network, Llc is 1558508606 and holds a License No. 2007029096 (Missouri).

The current practice location address for Jefferson Physician Network, Llc is 1400 Highway 61, Festus, MO and can be reached out via phone at 636-931-4002.

Location: 1400 Highway 61, Festus, MO, 63028-4100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558508606
Provider Name
Jefferson Physician Network, Llc
Credential
Provider Entity Type
Organization
Address
1400 Highway 61, Festus, MO, 63028-4100
Phone Number
636-931-4002
Fax Number
Provider Enumeration Date
01/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 Highway 61
City
Festus
State
Missouri
Zip
63028-4100
Phone Number
636-931-4002
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Highway 61
City
Festus
State
Missouri
Zip
63028-4100
Phone Number
636-931-4002
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
2007029096 (Missouri)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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