Organization
DAVE JAIN D.O.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE JAIN D.O. (OWNER)
(573) 888-4226
Entity
Organization
Contact information
Practice address
201 FLOYD ST, KENNETT, MO 63857-2450
(573) 888-4226
(573) 888-4221
Mailing address
201 FLOYD ST, KENNETT, MO 63857-2450
(573) 888-4226
(573) 888-4221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R1K93
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242974426
—
MO
Enumeration date
11/19/2008
Last updated
11/19/2008
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