Individual
DR. JEFFREY D JAAX
Active
Individual
DR. JEFFREY D JAAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R2P14
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050063936
RR MEDICARE NUMBER
MO
05
—
100124980B
—
MO
01
—
17479123
BCBS NUMBER
MO
05
—
202981734
—
MO
Enumeration date
05/10/2006
Last updated
12/13/2013
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