Individual
JEFFREY A SUZEWITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2643
(660) 626-2626
Mailing address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2643
(660) 626-2626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009022643
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009022643
PHYSICIAN AND SURGEON LICENSE
MO
Enumeration date
10/20/2005
Last updated
08/08/2011
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