Individual
DR. LOUIS DAVID JAMTGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6122
(816) 271-6019
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6122
(816) 271-6019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012017825
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255696308
—
MO
Enumeration date
07/05/2012
Last updated
10/24/2017
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