Individual
DR. JASON DENNIS SINCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-3014
Mailing address
2240 BENNETT SPRINGS DR APT 206, COLUMBIA, MO 65201-7288
(714) 240-0039
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2020016157
MO
2085R0202X
Diagnostic Radiology Physician
A93255
CA
2085R0202X
Diagnostic Radiology Physician
M3090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48121011
—
CO
Enumeration date
12/14/2005
Last updated
06/29/2020
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