Individual
JODI A BERENDZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, SUITE 102, JEFFERSON CITY, MO 65109-6023
(573) 636-5248
(573) 636-9390
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2011002800
MO
Other
Enumeration date
05/30/2008
Last updated
03/28/2013
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