Individual
CHRISTINE K JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
Mailing address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008008951
MO
Other
Enumeration date
07/11/2006
Last updated
05/03/2014
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