Individual
JAIME GASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 884-2000
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2023014966
MO
208600000X
Surgery Physician
2022021269
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022021269
MO LICENSE
MO
01
—
2023014966
MO LICENSE
MO
Enumeration date
06/15/2022
Last updated
07/06/2023
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