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Jonathan Lee Minor, MD
General Practice Physician in Rolla, Missouri
NPI 1609195452

Jonathan Lee Minor is a General Practice Physician based in Rolla, MO. Jonathan Lee Minor practices in Rolla, MO and has the professional credentials of MD. The NPI Number for Jonathan Lee Minor is 1609195452 and holds a License No. A137057 (Missouri).

The current practice location address for Jonathan Lee Minor is 910 W 10Th St, Rolla, MO and can be reached out via phone at 573-342-4284 and via fax at 573-341-6967. You can also correspond with Jonathan Lee Minor through the mailing address at 910 W 10TH ST, ROLLA, MO - 65409-6519 (mailing address contact number: 573-342-4284).

Location: 910 W 10Th St, Rolla, MO, 65409-6519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609195452
Provider Name
Jonathan Lee Minor
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
910 W 10Th St, Rolla, MO, 65409-6519
Phone Number
573-342-4284
Fax Number
573-341-6967
Provider Enumeration Date
05/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB238713 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
910 W 10Th St
City
Rolla
State
Missouri
Zip
65409-6519
Phone Number
573-342-4284
Fax Number
573-341-6967
person
Provider Business Mailing Address Details
Address
910 W 10Th St
City
Rolla
State
Missouri
Zip
65409-6519
Phone Number
573-342-4284
Fax Number
573-341-6967
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Sports Medicine
Taxonomy
2080S0010X
License No.
2020036607 (Missouri)
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A137057 (California)
Definition
Definition to come...
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