Individual
DR. JENNIFER A DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11709 OLD BALLAS RD, ST LOUIS, MO 63141
(314) 993-1200
(314) 993-1240
Mailing address
11709 OLD BALLAS RD, ST LOUIS, MO 63141
(314) 993-1200
(314) 993-1240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1999142849
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999142849
MO STATE LIC
MO
Enumeration date
11/27/2006
Last updated
07/08/2007
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