Individual
DR. JEI FLORENSARI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 996-4545
(314) 273-0140
Mailing address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 996-4545
(314) 273-0140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013030328
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033104047
—
MO
Enumeration date
09/15/2005
Last updated
02/08/2021
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