Individual
DR. JACQUELINE A. HAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1965 S FREMONT AVE, SUITE 130, SPRINGFIELD, MO 65804-2201
(417) 820-9055
(417) 820-9056
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2015021019
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619289311
—
MO
05
—
201120190A
—
KS
05
—
210762001
—
AR
Enumeration date
07/10/2010
Last updated
04/04/2016
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