Individual
SARA M ECHELMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 556-1719
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 556-1719
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2007003898
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
829631600
—
MN
Enumeration date
01/20/2006
Last updated
01/14/2014
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