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Individual

JAY JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 HOSPITAL DR # DC075.00, COLUMBIA, MO 65212
(573) 884-2000
(573) 884-4611
Mailing address
1 HOSPITAL DR # DC075.00, COLUMBIA, MO 65212-1000
(573) 884-2000
(573) 884-4611

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2017018859
MO

Other

Enumeration date
07/07/2017
Last updated
07/21/2022
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