Individual
JEFFERY PAUL FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1123 WILKES BLVD STE 110, COLUMBIA, MO 65201-4774
(573) 514-7312
(573) 242-6427
Mailing address
1123 WILKES BLVD STE 110, COLUMBIA, MO 65201-4774
(573) 514-7312
(573) 242-6427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR2P98
MO
207R00000X
Internal Medicine Physician
R2P98
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203205802
—
MO
Enumeration date
05/04/2006
Last updated
12/22/2023
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