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Individual

DR. JAY PATRICK GRANIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 JEFFERSON BARRACKS DR, EXTENDED CARE AND REHABILITATION SERVICES, SAINT LOUIS, MO 63125-4181
(314) 652-4100
(314) 845-5007
Mailing address
1 JEFFERSON BARRACKS DR, EXTENDED CARE AND REHABILITATION SERVICES, SAINT LOUIS, MO 63125-4181

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101249252
VA

Other

Enumeration date
06/14/2007
Last updated
07/06/2012
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