Organization
JACQUELYN B. GARRETT, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN BREWER GARRETT MD (PHYSICIAN)
(314) 583-2263
Entity
Organization
Contact information
Practice address
11125 DUNN RD STE 411, SAINT LOUIS, MO 63136-6132
(314) 355-7111
(314) 355-8604
Mailing address
11125 DUNN RD STE 411, SAINT LOUIS, MO 63136-6132
(314) 355-7111
(314) 355-8604
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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