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Individual

DR. JEFFREY A PARRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6812 STATE ROUTE 162 STE 200, MARYVILLE, IL 62062-8562
(618) 288-0900
Mailing address
12855 N 40 DR, SUITE 375, SAINT LOUIS, MO 63141-8635
(314) 567-6071
(314) 567-7961

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-083896
IL
208800000X
Urology Physician
100027
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203454715
MO
Enumeration date
11/30/2005
Last updated
12/01/2021
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