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Individual

DR. JAMES D JANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-2711
(636) 239-3385
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-2711
(636) 239-3385

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2001022826
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020051982
RAILROAD MEDICARE
05
205423007
MO
01
P01320590
RAILROAD MEDICARE
MO
Enumeration date
06/12/2006
Last updated
02/18/2015
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