Individual
DR. JASON DARRELL DAUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD STE 112A, SAINT LOUIS, MO 63141-8252
(314) 251-6339
(314) 251-4564
Mailing address
621 S NEW BALLAS RD STE 112A, SAINT LOUIS, MO 63141-8252
(314) 251-6339
(314) 251-4564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008022454
MO
208000000X
Pediatrics Physician
2008022454
MO
208M00000X
Hospitalist Physician
Primary
2008022454
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235187899
—
IL
05
—
1235187899
—
MO
Enumeration date
05/05/2006
Last updated
04/11/2026
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