Individual
MR. JEFFERY LYNN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.EEG/EPT, CNIM
Contact information
Practice address
205 N PARK DR, RAYMORE, MO 64083-9186
(660) 492-3841
Mailing address
205 N PARK DR, RAYMORE, MO 64083-9186
(660) 492-3841
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
2112
MO
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
477
MO
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
899
MO
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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