Individual
DR. JERRY L WAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
130 E LOCKLING ST, BROOKFIELD, MO 64628-2337
(660) 258-1050
(660) 258-1048
Mailing address
21819 WAIT TRL, KIRKSVILLE, MO 63501-7753
(660) 785-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R9B40
MO
207Q00000X
Family Medicine Physician
Primary
R9B40
MO
Other
Enumeration date
11/28/2006
Last updated
08/04/2009
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