Organization
DENNIS DEJESUS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS DEJESUS M.D. (PRESIDENT)
(816) 536-2300
Entity
Organization
Contact information
Practice address
125 BEAVER DAM RD, COLUMBIA, SC 29223-3101
(816) 536-2300
(866) 596-5119
Mailing address
6324 N CHATHAM AVE, KANSAS CITY, MO 64151-2473
(816) 536-2300
(866) 596-5119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26223
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629067327
INDIVIDUAL NPI DENNIS DEJESUS, MD
—
Enumeration date
07/07/2008
Last updated
07/11/2008
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