Individual
JOEL T JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R3F55
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168697
HEALTHLINK
MO
05
—
202251237
—
MO
01
—
204954
BLUE SHIELD/BLUE CHOICE
MO
Enumeration date
05/28/2006
Last updated
11/18/2010
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