Individual
C J JOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 296-6206
(636) 296-0102
Mailing address
227 E MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R8157
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201893823
—
MO
Enumeration date
04/18/2006
Last updated
10/01/2021
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