Individual
DR. DAVID MICHAEL JENNINGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
305 N KEENE ST, SUITE 205, COLUMBIA, MO 65201-6897
(573) 499-9949
Mailing address
305 N KEENE ST, STE 205, COLUMBIA, MO 65201-6898
(573) 499-9949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002030491
MO
152W00000X
Optometrist
2252
OK
Other
Enumeration date
11/12/2006
Last updated
01/29/2018
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