Individual
JEFFREY ALLYN HASSENFLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2081 BRIARBEND CT, MARYVILLE, IL 62062-5833
(816) 567-3372
Mailing address
2081 BRIARBEND CT, MARYVILLE, IL 62062-5833
(816) 567-3372
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q9370
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2013
Last updated
04/06/2017
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