Individual
JAMES V VEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
54 HOSPITAL DR, SUITE 205, OSAGE BEACH, MO 65065-3050
(573) 302-3199
(573) 302-3198
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
036053136
IL
207RP1001X
Pulmonary Disease Physician
Primary
2004018055
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053136
—
IL
05
—
1013913870
—
MO
01
—
P01103084
RAILROAD MEDICARE
MO
Enumeration date
06/24/2005
Last updated
12/30/2015
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