Individual
MATHEW MICHAEL JURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1400
Mailing address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1400
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
2024027191
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2024
Last updated
07/10/2024
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