Individual
DR. JEFFREY MOORE CONSTANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
242 PRIVATE ROAD 3970 RTE # 1, PEACE VALLEY, MO 65788-9725
(256) 508-5467
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20922
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051506720
—
AL
Enumeration date
01/04/2006
Last updated
02/19/2020
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