Individual
DR. JEFFREY TERRY VACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
725 S 5TH ST, SAINT CHARLES, MO 63301-2913
(636) 922-9182
Mailing address
3924 SUMMER FOREST DR, SAINT CHARLES, MO 63304-2642
(636) 288-3458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017019598
MO
Other
Enumeration date
06/14/2017
Last updated
12/15/2020
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