Individual
TYLER JAMES JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
080288
GA
207X00000X
Orthopaedic Surgery Physician
125-062741
IL
207X00000X
Orthopaedic Surgery Physician
2019008874
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2019008874
MO
Other
Enumeration date
03/27/2013
Last updated
10/01/2020
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