Individual
JASON ALEXANDER DUNDULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011012167
MO
207RG0100X
Gastroenterology Physician
Primary
2011012167
MO
Other
Enumeration date
06/17/2008
Last updated
07/02/2015
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