Organization
JMJ MEDICAL ENTERPRISE, LLC
Active
Other names
JMJ Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOEL CASINO (PRACTICE ADMINISTRATOR)
(314) 283-8950
Entity
Organization
Contact information
Practice address
8790 WATSON RD STE 201, SAINT LOUIS, MO 63119-5140
(314) 774-0300
(844) 600-1085
Mailing address
8790 WATSON RD STE 201, SAINT LOUIS, MO 63119-5140
(314) 774-0300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R5P40
MO
208D00000X
General Practice Physician
R5P40
MO
Other
Enumeration date
06/20/2017
Last updated
11/13/2019
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