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Organization
SIDES GROUP INC.
Active
Organization
SIDES GROUP INC.
Active
Other names
Jefferson County Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET LEITTERMANN (OFFICE MANAGER)
(636) 937-3611
Entity
Organization
Contact information
Practice address
1216 W MAIN ST, FESTUS, MO 63028-1654
(636) 937-3611
(636) 931-3612
Mailing address
1216 W MAIN ST, FESTUS, MO 63028-1654
(636) 937-3611
(636) 931-3612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
04/30/2010
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