Individual
JARED JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1014 MADISON ST, JEFFERSON CITY, MO 65101-3458
(573) 644-6999
Mailing address
PO BOX 1128, JEFFERSON CITY, MO 65102-1128
(573) 644-6999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020016497
MO
207Q00000X
Family Medicine Physician
69747
WI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/03/2017
Last updated
09/28/2020
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