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Dr. Jason B Vangundy, MD
Family Medicine Physician in Lake St Louis, Missouri
NPI 1790746071

Jason B Vangundy is a Family Medicine Physician based in Saint Louis, MO. Jason B Vangundy practices in Lake St Louis, MO and has the professional credentials of MD. The NPI Number for Jason B Vangundy is 1790746071 and holds a License No. 2001012077 (Missouri).

The current practice location address for Jason B Vangundy is 400 Medical Plz Ste 200, Lake St Louis, MO and can be reached out via phone at 636-625-2662.

Location: 400 Medical Plz Ste 200, Lake St Louis, MO, 63195-5534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790746071
Provider Name
Jason B Vangundy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Medical Plz Ste 200, Lake St Louis, MO, 63195-5534
Phone Number
636-625-2662
Fax Number
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
400 Medical Plz Ste 200
City
Lake St Louis
State
Missouri
Zip
63367-1417
Phone Number
636-625-2662
Fax Number
person
Provider Business Mailing Address Details
Address
400 Medical Plz Ste 200
City
Lake St Louis
State
Missouri
Zip
63367-1417
Phone Number
636-625-2662
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2001012077 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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