Organization
WOUND CARE OF CAPE GIRARDEAU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER C JIANG MD (PRESIDENT)
(314) 821-8055
Entity
Organization
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(314) 821-8055
Mailing address
PO BOX 191850, SAINT LOUIS, MO 63119-7850
(314) 821-8055
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD110547
MO
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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