Individual
JEFFERY M JAURON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ROCK ISLAND ARSENAL, 1 ROCK ISLAND, ROCK ISLAND, IL 61299-7240
(309) 782-0805
Mailing address
ROCK ISLAND ARSENAL, 1 ROCK ISLAND, ROCK ISLAND, IL 61299-7240
(309) 782-0805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03477
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4291278
—
IA
05
—
5291278
—
IA
05
—
6291278
—
IA
01
—
P00650328
RR MEDICARE
IL
Enumeration date
01/04/2006
Last updated
10/18/2010
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