Organization
FEDERICO JIMENEZ, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEDERICO J JIMENEZ JR. MD (OWNER)
(314) 892-4405
Entity
Organization
Contact information
Practice address
2938 TELEGRAPH RD, SAINT LOUIS, MO 63125-4061
(314) 892-4405
(314) 892-4406
Mailing address
2938 TELEGRAPH RD, SAINT LOUIS, MO 63125-4061
(314) 892-4405
(314) 892-4406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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