Individual
JORDAN A MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
621 SOUTH NEW BALLAS ROAD, SUITE 2009 B, ST. LOUIS, MO 63141
(314) 251-6062
(314) 251-4376
Mailing address
621 SOUTH NEW BALLAS ROAD, SUITE 2009 B, ST. LOUIS, MO 63141
(314) 251-6062
(314) 251-4376
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2020017232
MO
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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