Individual
JARED JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020019848
MO
207P00000X
Emergency Medicine Physician
20A15923
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
07/06/2020
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