Student (Health Care)
Jefferson City, MO
Specialty
Student (Health Care)
Credential
M.D.
NPI
1598749467
1241 West Stadium Blvd, Jefferson City, MO 65109
(573) 556-7765Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in student (health care) procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 390200000X