Organization
SIDES GROUP INC.
Active
Other names
Jefferson County Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET LEITTERMANN (OFFICE MANAGER)
(636) 937-3611
Entity
Organization
Contact information
Practice address
1216 W MAIN ST, FESTUS, MO 63028-1654
(636) 937-3611
(636) 931-3612
Mailing address
1216 W MAIN ST, FESTUS, MO 63028-1654
(636) 937-3611
(636) 931-3612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
04/30/2010
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